Overt Diabetes Mellitus in a Patient with Combined Primary Aldosteronism and Cushing's Syndrome
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概要
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Although there are some case reports of combined aldosterone and cortisol producing adrenal tumor, overt diabetes mellitus has been rarely described. A 55-year-old hypertensive woman had hypokalemia and overt hyperglycemia without Cushingoid clinical features. The body mass index was 18.2 kg/m2, fasting blood glucose was 302 mg/dl and hemoglobin A1c was 11.6%. Endogenous insulin secretion was well preserved, whereas insulin sensitivity measured by short insulin tolerance test was markedly impaired. A solitary left aldosterone- and cortisol-producing adrenal tumor was diagnosed. We described a rare case of overt diabetes mellitus in a patient with combined primary aldosteronism and Cushing's syndrome.
- 社団法人 日本内科学会の論文
著者
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Fujii Koji
Department Of Medicine And Clinical Science Graduate School Of Medical Sciences Kyushu University
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SASAKI Nobuhiro
Department of Biotechnology and Life Science, Faculty of Engineering, Tokyo University of Agricultur
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Arima Hisatomi
Department Of Environmental Medicine Graduate School Of Medical Sciences Kyushu University
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Yao Takashi
Department Of Anatomic Pathology Graduate School Of Medical Science Kyushu University
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Iida Mitsuo
Department Of Medical And Clinical Science Graduate School Of Medical Sciences Kyushu University
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Iwase Masanori
Department Of Energy Science And Technology Kyoto University
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Nohara Sakae
Department Of Medicine And Clinical Science Graduate School Of Medical Sciences Kyushu University
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Bandai Sachiko
Department Of Medicine And Clinical Science Graduate School Of Medical Sciences Kyushu University
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Arima Hisatomi
Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University
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