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Revue Maghrebine d'Endocrinologie-Diabete et de Reproduction [La]. 2008; 14 (4): 187-193
en Francés | IMEMR | ID: emr-108785

RESUMEN

The association of uncontrolled type 1 diabetes and Grave's disease may induce metabolic decompensation leading to the simultaneous occurrence of diabetic ketoacidosis and thyroid storm. This double endocrine emergency, although rare, is known to be life-threatening. Diagnostic difficulties due to an atypical presentation of thyroid storm that can be masked by diabetic ketoacidosis result in delayed diagnosis and treatment and therefore in a fatal outcome. We report two cases in whom early recognition and intensive treatment have led to an improved outcome. Radical treatment of the Grave's disease immediately at the diagnosis of the associated type 1 diabetes may prevent this double complication


Asunto(s)
Humanos , Masculino , Crisis Tiroidea , Enfermedad de Graves/terapia , Cetoacidosis Diabética , Diabetes Mellitus Tipo 1 , Complicaciones de la Diabetes , Resultado del Tratamiento
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