A Documented case of fulminant type 1 diabetes mellitus in Filipino male / Heliza Marie S. Nagano.

Contributor(s):

Nagano, Heliza Marie S., MD [author]

Language: english Publication details: Fairview, Quezon City: Department of Internal Medicine, FEU-NRMF, 2020.Description: (in folder)Content type:

text

Media type:

unmediated

Carrier type:

volume

Subject(s):

LOC classification:

MED 2020 0009

Summary: Abstract: Genetic susceptibility and environmental factors contribute a major role in Diabetes Mellitus. In type 1 diabetes melllitus, there are two subcategories which is immune mediated (1A) and idiopathic (1B), which is regarded as fulminant type. If not recognized and treated early, the prognosis of this type has increased mortality within 24 hours because of the rapid and complete destruction of the pancreatic beta cell. The established diagnostic criteria includes ketoacidosis, elevated plasma glucose ≥288mg/dl with hemoglobin A1c <8.5% at onset, negative autoantibodies and low C-peptide levels. This paper aims to discuss its unique features in a 30 year old Filipino male who is non-diabetic presented with one day history of abdominal pain and vomiting with no other associated signs and symptoms, apparently with abrupt signs of gyperglycemiaand onset of ketoacidosis. On work up, showed hyperglycemia with above normal glycosylated hemoglobin, elevated pancreatic enzymes, decreased C-peptide levels, negative islet related autoimmune antibodies (anti GAD, anti-insulin) and on ultrasound revealed fatty liver and prominent sized pancreas. Hence, fulminant type 1 diabetes mellitus was considered.

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Item type	Current library	Call number	Status	Date due	Barcode
Room Use	Far Eastern University - Nicanor Reyes Medical Foundation Research	MED 2020 0009 (Browse shelf(Opens below))	Available		R000986

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Previous	MED 2020 0006 A Rare case of guillain barre syndrome AMSAN variant /	MED 2020 0007 A Rare case of a 34-year-olf male with epiploic appendagitis /	MED 2020 0008 A Rare case of a 33-year-old male with CNS toxoplasmosis /	MED 2020 0009 A Documented case of fulminant type 1 diabetes mellitus in Filipino male /	MED 2020 0010 A Rare case of a 42 year old male with listeria meningitis /	MED 2020 0011 A Case of a 51-year old female with primary hyperparathyroidism /	MED 2020 0012 A Rare case of a 68-year old female diagnosed as a case of miller fisher syndrome, a variant of guillain-barre' syndrome /	Next

Includes bibliographical references.

Abstract: Genetic susceptibility and environmental factors contribute a major role in Diabetes Mellitus. In type 1 diabetes melllitus, there are two subcategories which is immune mediated (1A) and idiopathic (1B), which is regarded as fulminant type. If not recognized and treated early, the prognosis of this type has increased mortality within 24 hours because of the rapid and complete destruction of the pancreatic beta cell. The established diagnostic criteria includes ketoacidosis, elevated plasma glucose ≥288mg/dl with hemoglobin A1c <8.5% at onset, negative autoantibodies and low C-peptide levels. This paper aims to discuss its unique features in a 30 year old Filipino male who is non-diabetic presented with one day history of abdominal pain and vomiting with no other associated signs and symptoms, apparently with abrupt signs of gyperglycemiaand onset of ketoacidosis. On work up, showed hyperglycemia with above normal glycosylated hemoglobin, elevated pancreatic enzymes, decreased C-peptide levels, negative islet related autoimmune antibodies (anti GAD, anti-insulin) and on ultrasound revealed fatty liver and prominent sized pancreas. Hence, fulminant type 1 diabetes mellitus was considered.

Research - Department of Medicine

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