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Recurrent Concurrent Diabetic Ketoacidosis and Thyroid Storm
David F Crudo1, Elizabeth T Walsh1, Janel D Hunter1
1Pediatric Endocrinology, Wake Forest University School of Medicine, Winston-Salem, USA.
Abstract:
Diabetic ketoacidosis (DKA) and thyroid storm are serious complications of underlying disease states. Either condition can induce the other, and the co-occurrence of these conditions is uncommon. We present the case of an adolescent patient with type 1 diabetes and autoimmune hypothyroidism who developed recurrent concurrent DKA and thyroid storm twice in an eight-month period. The simultaneous development of DKA and thyroid storm is uncommon with only 28 cases previously reported. Co-presentation of these two life-threatening conditions occurs in people with either preexisting diabetes, thyroid disease, or both. The purported pathophysiology of how DKA and thyroid storm affect the other is discussed.
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