Akromegalinin Nadir Bir Prezentasyonu: Diyabetik Ketoasidoz

Öz

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.   

Anahtar Kelimeler

• 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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