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
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
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.
Abstract
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.
참고문헌 (14)
- Barski L, "Comparison of diabetic ketoacidosis in patients with type-1 and type-2 diabetes mellitus", Am J Med Sci, 345, pp.326~330 (2013)
- Lebovitz HE, "Ketosis-prone diabetes(Flatbush diabetes) : an emerging worldwide clinically important entity", Curr Diab Rep, 18, pp.120~ (2018)
- Pasquel FJ, "Hyperosmolar hyperglycemic state : a historic review of the clinical presentation, diagnosis, and treatment", Diabetes Care, 37, pp.3124~3131 (2014)
- Zeitler P, "Hyperglycemic hyperosmolar syndrome in children: pathophysiological considerations and suggested guidelines for treatment", J Pediatr, 158, pp.9~14 (2011)
- McDonnell CM, "Diabetic ketoacidosis, hyperosmolarity and hypernatremia : are high-carbohydrate drinks worsening initial presentation", Pediatr Diabetes, 6, pp.90~94 (2005)
- Keane S, "Cerebral venous thrombosis during diabetic ketoacidosis", Arch Dis Child, 86, pp.204~205 (2002)
- Worly JM, "Deep venous thrombosis in children with diabetic ketoacidosis and femoral central venous catheters", Pediatrics, 113, pp.e57~60 (2004)
- Umpierrez GE, "Narrative review : ketosis-prone type 2 diabetes mellitus", Ann Intern Med, 144, pp.350~357 (2006)
- Umpierrez GE, "Diabetic ketoacidosis and hyperglycemic hyperosmolar syndrome", Diabetes Spectr, 15, pp.28~36 (2002)
- Keenan CR, "High risk for venous thromboembolism in diabetics with hyperosmolar state : comparison with other acute medical illnesses", J Thromb Haemost, 5, pp.1185~1190 (2007)
- Gill GV, "Diabetic ketoacidosis complicated by axillary vein thrombosis", Diabetes Res Clin Pract, 73, pp.104~106 (2006)
- Fitzgerald MG, "Fatal diabetic ketosis", Br Med J, 1, pp.247~250 (1961)
- Beigelman PM, "Severe diabetic ketoacidosis", JAMA, 210, pp.1082~1086 (1969)
- Clements RS Jr, "Fatal diabetic ketoacidosis : major causes and approaches to their prevention", Diabetes Care, 1, pp.314~325 (1978)