Akromegalinin Nadir Bir Prezentasyonu: Diyabetik Ketoasidoz

Year 2018, Volume: 3 Issue: 1, 22 - 25, 22.07.2019

Nilüfer Merve Çelik Esin Beyan , Yakup Çelik Kürşat Dal

Abstract

Akromegalide glukoz metabolizması anormallikleri sık görüldüğü halde,
diyabetik ketoasidoz nadir bir komplikasyon olarak tanımlanmıştır. Bu makalede
42 yaşında diyabetik ketoasidozlu bir olgu sunulmaktadır. Metabolik bozukluk
için bir sebep bulunamayan, insülin ihtiyacı çok yüksek olan olguda laboratuvar
çalışmaları ile akromegali saptandı. Hipofiz adenomuna yönelik cerrahi sonrası
insülin ihtiyacı belirgin olarak azaldı. Olgumuz nadir bir durum olan diyabetik
ketoasidoz ile akromegali birlikteliğini göstermektedir. Akromegali yüksek doz
insülin ihtiyacının ayırıcı tanısında göz önünde bulundurulmalıdır.   

Keywords

Akromegali, . Diabetes mellitus, Diyabetik ketoasidoz

An Unusual Presentation Of Acromegaly: Diabetic Ketoacidosis

Abstract

Although the abnormalities of glucose metabolism were common in
acromegaly, diabetic ketoacidosis was described as a rare complication. A case
of 42-year-old woman who had diabetic ketoacidosis in this case report.
Laboratory studies were confirmed the diagnosis of acromegaly in patient which
had no specific cause for metabolic derangement and insulin need was very high.
After the pituitary adenoma removed surgically, insulin need was markedly
reduced. This case shows the rare association between diabetic ketoacidosis and
acromegaly. Acromegaly should be considered in the differential diagnosis of
high dose insulin needed.

Keywords

Acromegaly, Diabetes mellitus, Diabetic Ketoacidosis

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