Clinical Diabetes 2006;7(4):374-377.
당뇨병성 케톤산증과 급성 신부전을 동반한 전격성 당뇨병 1예
임채영, 김효정, 민경완, 김현진, 박강서, 김응진, 한경아
A Case of Fulminant Type 1 Diabetes with Diabetic Ketoacidosis and Acute Renal Failure
Chae Young Lim, Hyo Jeong Kim, Kyung Wan Min, Hyun Jin Kim, Kang Seo Park, Eung Jin Kim, Kyung Ah Han
Type 1 diabetes mellitus results from insulin deficiency due to destructive process of the beta cells. Type 1 diabetes mellitus is divided into autoimmune-mediated (type 1A) and idiopathic (type 1B). Since Imagawa et al. reported 11 cases of fulminant autoantibody-negative type 1 diabetes as a novel subtype, additional cases were described. Most of type 1B diabetes were characterized by abrupt and severe onset of disease, negative status of islet-related autoantibodies, elevated serum pancreatic enzyme, and a near-normal range of HbA1c. We have assessed the 32-year old man who had fulminant diabetes associated with diabetic ketoacidosis and acute renal failure, and so report the case with the review of literatures.
Key Words: Fulminant, Type 1B diabetes, ketoacidosis

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