The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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A Case of Hyperglycemic Hyperosmolar Syndrome in a Patient with Central Diabetes Insipidus and Type 2 Diabetes Mellitus

중추성 요붕증과 제2형 당뇨병이 동반된 고혈당성 고삼투압 증후군 1예

  • Lee, Jung-Hwan (Department of Internal Medicine, Inha University School of Medicine) ;
  • Hong, Ji-Taek (Department of Internal Medicine, Inha University School of Medicine) ;
  • Min, Sang-Joon (Department of Internal Medicine, Inha University School of Medicine) ;
  • Hong, Seong-Bin (Department of Internal Medicine, Inha University School of Medicine) ;
  • Nam, Moon-Suk (Department of Internal Medicine, Inha University School of Medicine) ;
  • Kim, Yong-Seong (Department of Internal Medicine, Inha University School of Medicine) ;
  • Kim, So-Hun (Department of Internal Medicine, Inha University School of Medicine)
  • 이정환 (인하대학교 의학전문대학원 내과학교실) ;
  • 홍지택 (인하대학교 의학전문대학원 내과학교실) ;
  • 민상준 (인하대학교 의학전문대학원 내과학교실) ;
  • 홍성빈 (인하대학교 의학전문대학원 내과학교실) ;
  • 남문석 (인하대학교 의학전문대학원 내과학교실) ;
  • 김용성 (인하대학교 의학전문대학원 내과학교실) ;
  • 김소헌 (인하대학교 의학전문대학원 내과학교실)
  • Published : 2012.01.01
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Abstract

Diabetes insipidus is a disorder caused by complete or partial deficiency or unresponsiveness to antidiuretic hormone. Both diabetes mellitus and diabetes insipidus are well-known causes of polyuria and polydipsia. Although Wolfram Syndrome, which is characterized by the concurrence of diabetes mellitus and diabetes insipidus along with optic atrophy and ataxia, is frequently reported, the concurrence of diabetes insipidus and type 2 diabetes mellitus without optic atrophy and deafness is rare. We report a 31-year-old woman presenting with hyperglycemic hyperosmolar syndrome caused by type 2 diabetes mellitus complicated with concurrent central diabetes insipidus.

본 저자들은 제2형 당뇨병이 발생하였고, 특발성 중추성으로 추정되는 요붕증에 의해 고혈당성 고삼투압성 증후군의 임상적 형태로 나타난 환자를 경험하였다. 수액치료와 인슐린 치료 및 데스모프레신에 의해 호전된 증례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Keywords

References

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