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KMID : 1037620210080010030
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Pediatric Emergency Medicine Journal
2021 Volume.8 No. 1 p.30 ~ p.34
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A case of diabetic ketoacidosis and hyperosmolar hyperglycemic state complicated with iatrogenic left femoral arterial thrombosis in a 14-year-old girl with newly diagnosed type 2 diabetes mellitus
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Kim Young-Jin
Kim Yong-Hyuk
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Abstract
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Although diabetic ketoacidosis (DKA) is a major cause of morbidity and mortality of type 1 diabetes mellitus, DKA also occurs in ketosis-prone type 2 diabetes. Recently, cases of DKA associated with hyperosmolar hyperglycemic state (HHS) have been reported in adolescents. We reported a 14-year-old girl with newly diagnosed type 2 diabetes mellitus-associated DKA and HHS complicated with iatrogenic left femoral arterial thrombosis, requiring a below-knee amputation. In DKA and HHS, a risk factor for thrombosis, vascular access, predisposes patients to thrombosis. Consequently, occurrence of thrombosis should be monitored in patients with DKA or HHS.
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KEYWORD
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Diabetic Ketoacidosis, Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2, Hyperglycemic Hyperosmolar Nonketotic Coma, Thrombosis
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