ISOLATED GROWTH-HORMONE DEFICIENCY AFTER CEREBRAL EDEMA COMPLICATING DIABETIC-KETOACIDOSIS
ISOLATED GROWTH-HORMONE DEFICIENCY AFTER CEREBRAL EDEMA COMPLICATING DIABETIC-KETOACIDOSIS
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DOI:
10.1056/nejm198704023161407
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发表时间:
1987-04-02
影响因子:
158.5
通讯作者:
WOLFSDORF, JI
中科院分区:
文献类型:
--
作者:
KELLER, RJ;WOLFSDORF, JI
CEREBRAL edema developing during the treatment of diabetic ketoacidosis is an uncommon but important cause of morbidity and mortality in children with diabetes mellitus.1234This report concerns a child who survived severe cerebral edema, which occurred during treatment for ketoacidosis, and subsequently had growth hormone deficiency. Although growth hormone deficiency has been described in long-standing diabetes, usually in association with other neuroendocrine abnormalities, we were unaware that it might occur after cerebral edema.Case ReportA girl four years and eight months old presented at a community hospital emergency room with classic symptoms of diabetic ketoacidosis. She was somnolent and . . .