KMID : 0828520130170020095
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Journal of the Korean Geriatrics Society 2013 Volume.17 No. 2 p.95 ~ p.98
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Newly diagnosed diabetes mellitus manifested as hyperglycemic emergency
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Kwon Tae-Hyung
Kim Min-Sung Jeon Joon-Ho Jeong Dong-il Yoon Sang-Seok Lee Yong-Kyu
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Abstract
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Here, we report a case of newly diagnosed diabetes, with concurrent pancreatic cancer manifested as hyperglycemic crisis, and aggravated by urinary tract infection. We summarize the initial clinical manifestations and pertinent laboratory, radiologic, and clinical findings in an elderly patient with hyperglycemic emergency. A review of the documents involving pancreatic tumors and hyperglycemic hyperosmolar state, which is an acute complication of diabetes mellitus, is presented. In the absence of other identifiable conditions, it is reasonable to speculate that some factor (or factors) produced by the tumor had a role in the metabolic decompensation. In addition, this discussion should be more carefully considered in the aged people group.
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KEYWORD
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diabetes mellitus, hyperglycemic hyperosmolar state, pancreatic cancer
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