A Case of Insulin-Dependent Diabetes Mellitus Associated with Painless Acute Pancreatitis.
スポンサーリンク
概要
- 論文の詳細を見る
We report a case of insulin-dependent diabetes mellitus (IDDM) which developed in acute painless pancreatitis. After the general symptoms of a common cold, a 60 year old man was admitted to the hospital because of acute pancreatitis diagnosed on the basis of elevated serum amylase activity (1259 Somogyi units/100m<I>l</I>) and a moderately swollen pancreas and confirmed by abdominal ultrasonography and computed tomography. Several days after the onset of acute pancreatitis, a marked increase in blood glucose concentration (734mg/100m<I>l</I>) was found, and insulin administration was required, although serum amylase levels returned to normal and the size of the swollen pancreas became normal within 2 weeks.Based on the following observations, this patient was diagnosed as having IDDM:(1) the abrupt onset of the diabetes mellitus:(2) undetectable low urinary excretion of C-peptide (CPR), which was 46.7μg/day on admission; and (3) no response of plasma CPR to glucagon injection or arginine infusion, suggesting complete destruction of pancreatic B-cells.The cytomegalovirus (CMV) antibody titer determined by complement fixation was×32 on admission.It increased to×512 after 127 days, and remained elevated throughout the period of observation.It is conceivable that CMV infection caused not only the patient's acute painless pancreatitis but his IDDM.
- 一般社団法人 日本糖尿病学会の論文
一般社団法人 日本糖尿病学会 | 論文
- Hyperlipidemia and Analysis of the Use of Lipid-lowering Drugs in Non-insulin-dependent Diabetes Mellitus.
- Thyrotoxic Crisis in a Patient with Mitochondrial Diabetes Mellitus.
- Rapidly Progressive Nephropathy in a Young Patient with Mitochondrial Gene Mutation.
- An Autopsy Case of Ketoacidosis in Insulin Dependent Diabetes Mellitus Patient Complicated with Adult Respiratory Distress Syndrome, DIC and Leukopenia.
- Studies on Alcoholic Beverages in Relation to Body Weight for Mild Diabetics