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伴肌酶极度升高的暴发性1型糖尿病二例 被引量：9

Two cases of fulminant type 1 diabetes with extremely elevated muscle enzymes
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摘要 一、病例摘要 病例1，男性，31岁。因口干、恶心、呕吐4天急诊入院。4天前剧烈运动后大量出汗，次日口干，恶心、呕吐，呕出胃内容物2次，伴全身乏力，无腹痛、腹泻、胸痛、气急、发热、腰痛等，近期无消瘦。既往体健，无糖尿病史及家族史。急诊查血白细胞27．7×10^9／L；血尿素氮20．4mmol／L，肌酐230μmol／L；K^＋7．3mmol／L，Na^＋137mmol／L，Cl^-93mmol／L；
作者 刘芳 周健 臧国庆 陈维雄 包玉倩 汪年松 贾伟平
机构地区 上海交通大学附属第六人民医院内分泌代谢科 上海交通大学附属第六人民医院感染科 上海交通大学附属第六人民医院消化科 上海交通大学附属第六人民医院肾内科
出处 《中华内分泌代谢杂志》 CAS CSCD 北大核心 2009年第1期127-130,共4页 Chinese Journal of Endocrinology and Metabolism
基金 上海市卫生局面上项目（054012）
关键词 1型糖尿病 暴发性 极度 肌酶 病例摘要 急诊入院 无糖尿病史 胃内容物
分类号 R686 [医药卫生—骨科学]
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参考文献8

  • 1Imagawa A, Toshiaki H, Miyagawa J, et al. A novel subtype of type 1 diabetes mellitus characterized by a rapid onset and an absence of diabetes-related antibodies. N Engl J Med, 2000,342:301-307.
  • 2张弛,周智广,张冬梅,杨晓琳,周敏,林健,黄干,王建平.急骤起病伴胰酶增高的1型糖尿病临床和免疫学特征[J].中华医学杂志,2005,85(14):967-971. 被引量：46
  • 3Kotani R, Nagata M . T lymphocyte response against pancreatic beta cell antigens in fulminant type 1 diabetes. Diabetologia, 2004,47: 1285-1291.
  • 4Imagawa A, Hanafusa T, Uehigata Y, et a;. Fulminant type 1 diabetes: a nationwide survey in Japan. Diabetes Care, 2003,26: 2345 -2352.
  • 5Taniyama M, Katsumata R, Aoki K, et al. A Filipino patient with fulminant type 1 diabetes. Diabetes Care, 2004,27:842-843.
  • 6Jung TS, Chung SI, Kim MA, et al. A Korean patient with fulminant autoantibody-negative type 1 diabetes. Diabetes Care, 2004,27:3023- 3024
  • 7Kawasaki E, Eguchi K. Is type 1 diabetes in the Japanese population the same as among Caucasians? Ann N Y Acad Sci, 2004,1037:96- 103.
  • 8Tanaka S, Endo T, Aida K, et al. Distinct diagnostic criteria of fulminant type 1 diabetes based on serum C-peptide response and I-IbAIC levels at onset. Diabetes Care, 2004,27:1936-1941.

二级参考文献19

  • 1Taniyama M, Katsumata R, Aoki K, et al. A Fillipino patient with fulminant type 1 diabetes. Diabetes Care, 2004, 27:842-843.
  • 2Imagawa A,- Hanafusa T, Uchigata Y, et al. Different contribution of class Ⅱ HLA in fulminant and typical autoimmune type 1 diabetes mellitus. Diabetologia,2005, 48:294-300.
  • 3Imagawa A, Hanafusa T, Makino H, et al. High titres of IgA antibodies to enterovirus in fulminant type-1 diabetes. Diabetologia,2005, 48:290-293.
  • 4Yadav D, Nair S, Norkus EP, et al. Nonspecitic hyperamylasemia and hyperlipasemia in diabetic ketoacidosis: incidence and correlation with biochemical abnormalities. Am J Gastroenterol,2000, 95:3123-3128.
  • 5Semakula C, Vandewalle CL, Van Schravendijk CF, et al.Abnormal pancreatic enzyme activities in more than twenty-five percent recent onset insulin-dependent diabetic patients: association of hyperlipasemia with high titre islet-cell antibodies. Pancreas,1996,12:321-333.
  • 6Report of the Expert Committee on the Diagnosis and Classification of Diabetes Mellitus. Diabetes Care, 1997,20:1183-1197.
  • 7Alberti KG, Zimmet PZ. Definition, diagnosis and classification of diabetes mellitus and its complications. Part 1 : diagnosis and classification of diabetes mellitus provisional report of a WHO consultation. Diabet Med, 1998, 15:539-553.
  • 8Imagawa A, Hanafusa T, Miyagawa J, et al. A novel subtype of type 1 diabetes mellitus characterized by a rapid onset and an absence of diabetes-related antibodies. N Engl J Med, 2000, 342:301-307.
  • 9Imagawa A, Hanafusa T, Uchigata Y, et al. Fulminant type 1 diabetes. A nationwide survey in Japan. Diabetes Care, 2003, 26:2345-2352.
  • 10Maldonado MM, Hampe CS, Gaur LK, et al. Ketosis-Prone diabetes : dissection of a heterogeneous syndrome using an immunogenetic and β-cell functional classification, prospective analysis, and clinical outcomes. J Clin Endocrinol Metab, 2003,88:5090-5098.

共引文献45

同被引文献77

引证文献9

二级引证文献41

中华内分泌代谢杂志
2009年 第1期

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