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Ann Geriatr Med Res > Volume 17(2); 2013 > Article
Journal of the Korean Geriatrics Society 2013;17(2):95-98.
DOI: https://doi.org/10.4235/jkgs.2013.17.2.95    Published online June 30, 2013.
Newly Diagnosed Diabetes Mellitus With Pancreatic Cancer Manifested as Hyperglycemic Hyperosmolar State
Tae Hyung Kwon, Min Seong Kim, Jun Ho Jeon, Dong Il Jeong, Sang Seok Yun, Yong Kyu Lee
Department of Internal Medicine, Good Gang-An Hospital, Busan, Korea. lyk59@medimail.co.kr
췌장암을 동반한 새로 진단된 당뇨병이 고혈당성 응급으로 발현된 1예
권태형·김민성·전준호·정동일·윤상석·이용규
좋은강안병원 내과
Abstract
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.
Key Words: Diabetes mellitus, Hyperglycemic hyperosmolar state, Pancreatic neoplasms
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