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홍지택 ( Ji Taek Hong ),정석 ( Seok Jeong ),이돈행 ( Don Haeng Lee ),김성현 ( Seong Hyun Kim ),민상준 ( Sang Joon Min ),정현정 ( Hyun Jung Chung ),전용선 ( Yong Sun Jeon ) 대한내과학회 2012 대한내과학회지 Vol.83 No.4
Emphysematous infections of the abdomen are potentially life-threatening conditions that require aggressive medical and surgical management. Emphysematous pancreatitis is an uncommon disease that presents as acute pancreatitis with intra-parenchymal gas at the time of diagnosis. Traditionally, emphysematous pancreatitis is an indication for surgical intervention. However, a few cases of emphysematous pancreatitis, managed successfully without surgical debridement have been reported. We present a case of emphysematous pancreatitis managed medically without surgical debridement in a 56-year-old male. (Korean J Med 2012;83:485-489)
증례 : 내분비-대사 ; 중추성 요붕증과 제2형 당뇨병이 동반된 고혈당성 고삼투압 증후군 1예
이정환 ( Jung Hwan Lee ),홍지택 ( Ji Taek Hong ),민상준 ( Sang Joon Min ),홍성빈 ( Seong Bin Hong ),남문석 ( Moonsuk Nam ),김용성 ( Yong Seong Kim ),김소헌 ( So Hun Kim ) 대한내과학회 2012 대한내과학회지 Vol.82 No.1
본 저자들은 제2형 당뇨병이 발생하였고, 특발성 중추성 으로 추정되는 요붕증에 의해 고혈당성 고삼투압성 증후군의 임상적 형태로 나타난 환자를 경험하였다. 수액치료와 슐린 치료 및 데스모프레신에 의해 호전된 증례를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Diabetes insipidus is a disorder caused by complete or partial deficiency or unresponsiveness to antidiuretic hormone. Both diabetes mellitus and diabetes insipidus are well-known causes of polyuria and polydipsia. Although Wolfram Syndrome, which is characterized by the concurrence of diabetes mellitus and diabetes insipidus along with optic atrophy and ataxia, is frequently reported, the concurrence of diabetes insipidus and type 2 diabetes mellitus without optic atrophy and deafness is rare. We report a 31-year-old woman presenting with hyperglycemic hyperosmolar syndrome caused by type 2 diabetes mellitus complicated with concurrent central diabetes insipidus. (Korean J Med 2012;82:90-94)