Ketoacidosis as the primary manifestation of acromegaly

ABSTRACT

Although diabetes mellitus is common in acromegaly, diabetic ketoacidosis [DKA] is rarely reported in this disease. Herein, we reported on a 41-year-old man with acromegaly whose first presentation was DKA. After treatment of acromegaly, his diabetes subsided. We concluded that, even in nondiabetic individuals, a high level of growth hormone can rarely cause DKA