Slowly Progressive Type 1 Diabetes Mellitus Associated with Vitiligo Vulgaris, Chronic Thyroiditis, and Pernicious Anemia
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概要
- 論文の詳細を見る
A 81-year-old woman was diagnosed as having diabetes mellitus (DM) at 58 years of age. She started insulin therapy the following year, but her blood sugar levels were poorly controlled. At the age of 75, she tested positive for the anti-GAD antibody (7.8 U/ml) and was diagnosed as having slowly progressive type 1 DM (SPIDDM), as well as vitiligo vulgaris. At 78 years of age, chronic thyroiditis was diagnosed after positive tests for anti-thyroid peroxidase antibody and anti-thyroglobulin antibody. At the age of 81, general fatigue and jaundice appeared concomitantly with severe anemia, with Hb levels at 5.2 g/dl. Low serum vitamin B12 levels and the finding of erythroblastic hyperplasia with megaloblasts in bone marrow led to the diagnosis of pernicious anemia. Anemia was alleviated by intramuscular injections of vitamin B12. The patient developed chronic thyroiditis, vitiligo vulgaris, and pernicious anemia concomitantly with SPIDDM, and was diagnosed as having polyglandular autoimmune syndrome type III. Attention should be paid to these potentially associated autoimmune diseases in daily practice during the follow-up of SPIDDM patients.
- 社団法人 日本内科学会の論文
- 2004-12-01
著者
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Kohsaka Akira
Department of Physiology, Wakayama Medical University School of Medicine
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Suda T
Department Of Endocrinology And Metabolism Hirosaki University Graduate School Of Medicine
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Suda Toshihiro
Department Of Endocrinology And Metabolism Hirosaki University Graduate School Of Medicine
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Suda Toshihiro
The Third Department Of Internal Medicine Hirosaki University School Of Medicine
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Kohsaka Akira
Department Of Endocrinology And Metabolism Hirosaki University Graduate School Of Medicine
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Kohsaka Akira
Department Of Endocrinology Aomori Prefectural Central Hospital
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TERUI Ken
Department of Endocrinology and Metabolism, Hirosaki University Graduate School of Medicine
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SUZUKI Chiori
Department of Endocrinology, Aomori Prefectural Central Hospital
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HIRAI Yuichi
Department of Endocrinology, Aomori Prefectural Central Hospital
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AKAGI Tomoaki
Department of Rheumatology and Hematology, Aomori Prefectural Central Hospital
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Terui Ken
Department Of Endocrinology And Metabolism Hirosaki University Graduate School Of Medicine
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Akagi Tomoaki
Department Of Hematology Aomori Prefectural Central Hospital
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Akagi Tomoaki
Department Of Rheumatology And Hematology Aomori Prefectural Central Hospital
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Hirai Yuichi
The Department Of Endocrinology Aomori Prefectural Central Hospital
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Hirai Yuichi
Department Of Bioproduction Faculty Of Agriculture Yamagata University
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Suzuki Chiori
Department Of Endocrinology Aomori Prefectural Central Hospital
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