| Item type |
紀要論文 / Departmental Bulletin Paper(1) |
| 公開日 |
2019-07-17 |
| タイトル |
|
|
タイトル |
Extreme hyperglycemia and diabetic ketoacidosis occurring in a patient on chronic dialysis |
|
言語 |
en |
| 言語 |
|
|
言語 |
eng |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
End-stage renal disease |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
diabetic ketoacidosis |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
hyperglycemia |
| 資源タイプ |
|
|
資源タイプ |
departmental bulletin paper |
| 著者 |
松ヶ角, 透
Kaneko, Masatomo
Taniguchi, Hidefumi
Onishi, Akira
Niimi, Mikiko
Matsugasumi, Masako
Yano, Miho
Okihara, Koji
Imada, Naoki
|
| 著者所属(英) |
|
|
内容記述タイプ |
Other |
|
内容記述 |
Department of Urology, North medical center, Kyoto prefectural university of medicine, Kyoto, Japan. |
| 著者所属(英) |
|
|
内容記述タイプ |
Other |
|
内容記述 |
Department of Nephrology and Urology, Nishijin Hospital, Kyoto, Japan. |
| 著者所属(英) |
|
|
内容記述タイプ |
Other |
|
内容記述 |
Department of Internal medicine, Nishijin Hospital, Kyoto, Japan. |
| 抄録 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
Diabetic ketoacidosis (DKA) is a complication that is rarely reported in patients on chronic dialysis. Herein, we describe the case of a patient on chronic hemodialysis who presented to us with acute onset diabetic ketoacidosis. A 50-year-old man with insulin-dependent diabetes mellitus, who was on hemodialysis for 2 years, presented to us with altered consciousness. Laboratory data revealed the following results: blood sugar, 110.1 mmol/L (1984 mg/dL); serum sodium, 107 mmol/L; β -hydroxybutyric acid, 1991 μ M; pH, 7.048. A diagnosis of diabetic ketoacidosis was made, and insulin therapy and hemodialysis were initiated, following which his parameters including blood glucose, and serum potassium and sodium improved. High osmotic dehydration was not observed in our patient owing to his renal dysfunction. The patient’s consciousness normalized following the correction of hyperglycemia and DKA. This case report highlights the importance of early diagnosis of DKA, and prompt initiation of insulin therapy and hemodialysis in patients on chronic dialysis. Therefore, in patients with end stage renal disease, the blood glucose correction should be followed by the restoration of sodium and osmolality, guided by corrected sodium concentration and effective osmolality, and by the appropriate adjustment of insulin and dialysis. |
|
言語 |
en |
| 書誌情報 |
ja : 京都府立医科大学附属北部医療センター誌
en : Journal of North Medical Center Kyoto Prefectural University of Medicine
巻 5,
号 1,
p. 64-69,
発行日 2019-03-31
|
| 出版者 |
|
|
出版者 |
京都府立医科大学附属北部医療センター |
|
言語 |
ja |
| ISSN |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
2188-5400 |
| 著者版フラグ |
|
|
出版タイプ |
VoR |
論文 (1.1 MB)
