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KMID : 0356620090240020116
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Journal of Korean Society of Endocrinology
2009 Volume.24 No. 2 p.116 ~ p.120
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A Case of Fulminant Type 1 Diabetes Mellitus Complicated with Ischemic Ileitis
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Oh Se-Won
Park Ju-Ri
Lee Yun-Jeong
Kim Hee-Young
Seo Ji-A
Kim Nan-Hee
Choi Kyung-Mook
Baik Sei-Hyun
Choi Dong-Seop
Kim Sin-Gon
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Abstract
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Fulminant type 1 diabetes is characterized by diabetes with an abrupt onset, severe metabolic acidosis at diagnosis, a low HbA1c level and negativity for islet cell-related autoantibodies, and this illness has been classified as type 1B diabetes by the WHO. The prevalence of this disease is higher in Japan than any other country and recently, there have been an increasing number of such case reports in Korea. Genetic factors and environmental factors such as virus infection and an immune mechanism have been suggested as the mechanism of the pathophysiology, but this remains to be clarified.
We report here on a case of fulminant type 1 diabetes with ischemic ileitis in a 44 year-old male, and we include a review of the relevant literature.
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KEYWORD
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fulminant, ischemic ileitis, type 1 diabetes mellitus
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