KMID : 0191120130280111682
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Journal of Korean Medical Science 2013 Volume.28 No. 11 p.1682 ~ p.1686
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An Unusual Presentation of Diabetic Ketoacidosis in Familial Hajdu-Cheney Syndrome: A Case Report
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Lee Gil-Ho
An So-Yeon Sohn Young-Bae Jeong Seon-Yong Chung Yoon-Sok
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Abstract
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A 21-year-old man with diabetic ketoacidosis (DKA) displayed short and clubbed fingers and marked eyebrow, which are typical of Hajdu-Cheney Syndrome (HCS). Laboratory findings confirmed type 1 diabetes mellitus (DM). After conservative care with hydration and insulin supply, metabolic impairment was improved. Examinations of bone and metabolism revealed osteoporosis and craniofacial abnormalities. The mutation (c.6443T>G) of the NOTCH2 gene was found. The patient was diagnosed with HCS and DM. There may be a relationship between HCS and DM, with development of pancreatic symptoms related to the NOTCH2 gene mutation.
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KEYWORD
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Diabetic Ketoacidosis, Hajdu-Cheney Syndrome
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