All cases of diabetic ketoacidosis admitted to Prince Zaid Hospital between 1993 and 1997 were analysed for precipitating causes and outcome. Of 167 cases, 89 were male and 78 female, with a mean age of 38 years. It was the initial presentation of diabetes mellitus in 21% of the patients. Infection and noncompliance were the leading precipitating causes but no cause was found in 14% of the patients. The mortality rate was 4.8%. Educating the public and patients about diabetic complications and therapy is the key to prevention of diabetic ketoacidosis.

A report of a 55-year-old white Jordanian female, who presented in March 1990 with a dry cough and progressive shortness of breath of two years duration. The chest X-ray showed bilateral, multliple and widespread nodular lesions which was confirmed by a chest CT scan. Diagnosis was proved by an open lung biopsy and special immunohistochemical staining for factor VIII to be Epilthelioid Hemangioendothelioma of the lung. (Intravascular, bronchiolar and alveolar tumor). We think that this is the first case that has dust exposure? and has been reported in Jordan.