Diabetic Ketoacidosis in Undiagnosed Acromegaly:  A Case Report and Literature Review

Delgado, Fabian; Valverde, Felix; Vaca, Richard

doi:10.17161/kjm.vol15.15881

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2023

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“…Still, the occurrence of DKA is very uncommon in these patients (6). Limited evidence about DKA in patients with acromegaly is mostly about patients diagnosed with DKA as the first clinical presentation (7,8). The mainstay of DKA management in the acromegalic patient is not different from other cases of DKA; intravenous insulin therapy and hydration are the cornerstones (9, 10) and evidence supporting continuous venovenous hemofiltration in non-responders (11).…”

Section: Discussionmentioning

confidence: 99%

Diabetic ketoacidosis and loss of consciousness as the first clinical presentations of apoplexy in a patient with recurrent pituitary adenoma: A Case Report study

Khalili,

Alizadeh,

Farsi

et al. 2023

Preprint

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Diabetic ketoacidosis and loss of consciousness as the first clinical presentations of apoplexy in a patient with recurrent pituitary adenoma: A Case Report study Key Clinical MessageAs we have stated formerly, the distinct and classic acromegalic features and the patient's past medical history were highly suggestive of acromegaly, which was established later. Female gender, obesity, hirsutism, amenorrhea, acromegalic features, and a positive family history of diabetes in a patient complaining of an acute headache or visual disturbance should prompt clinicians to this diagnosis.

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Section: Discussionmentioning

confidence: 99%