A Case of Acute Neurologic Deficit and Hypoglycemia in the Setting of Thyroid Storm and Diabetic Ketoacidosis: A New Clinical Scenario.

IF 1.4 Q4 PRIMARY HEALTH CARE Korean Journal of Family Medicine Pub Date : 2024-01-01 Epub Date: 2024-01-20 DOI:10.4082/kjfm.23.0230
Alena Aleksashina, Svetlana Rachina, Gayrat Kiyakbaev, Girindu Hewathanthirige, Yulia Cherdantseva
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Abstract

The simultaneous development of diabetic ketoacidosis (DKA) and thyroid storm (TS) is a rare but potentially lifethreatening condition that requires immediate and targeted treatment. However, their combined diagnosis poses a serious challenge because of the similarities between their clinical manifestations. To date, only a few dozen cases have been described; most of which have been linked to the progression of thyrotoxicosis or uncontrolled hyperglycemia as contributing factors. We present the case of a 37-year-old woman with type 1 diabetes mellitus and Graves' disease who presented with both TS and DKA. She was initially admitted to the emergency department as a suspected case of stroke. Severe hypoglycemia significantly lowered her alertness to TS and probably provoked a sharp hyperthyroid decompensation, thereby leading to subsequent DKA development.

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甲状腺风暴和糖尿病酮症酸中毒背景下的急性神经功能缺失和低血糖症病例:一种新的临床情景
同时出现糖尿病酮症酸中毒(DKA)和甲状腺风暴(TS)是一种罕见但可能危及生命的病症,需要立即进行针对性治疗。然而,由于这两种疾病的临床表现十分相似,因此它们的合并诊断是一项严峻的挑战。迄今为止,仅有几十例病例被描述过,其中大多数都与甲状腺毒症的进展或未控制的高血糖有关。我们介绍了一例同时患有 TS 和 DKA 的 37 岁女性病例,她患有 1 型糖尿病和巴塞杜氏病。她最初因疑似中风被送入急诊科。严重的低血糖大大降低了她对 TS 的警觉性,并可能引发甲状腺机能亢进的急剧失代偿,从而导致随后发生 DKA。
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来源期刊
Korean Journal of Family Medicine
Korean Journal of Family Medicine PRIMARY HEALTH CARE-
CiteScore
4.00
自引率
4.30%
发文量
51
审稿时长
53 weeks
期刊最新文献
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