Recovery from Exocrine Pancreatic Insufficiency in a Patient with Fulminant Type 1 Diabetes

被引：2

作者：

Koyano, Hajime M. ^{[1
,2
]}

Matsumoto, Takao ^{[1
]}

机构：

[1] Tokyo Rinkai Hosp, Dept Internal Med, Tokyo, Japan

[2] Juntendo Univ, Urayasu Hosp, Dept Med, Div Endocrinol & Diabet, Tokyo, Japan

来源：

INTERNAL MEDICINE | 2013年 / 52卷 / 05期

关键词：

fulminant type 1 diabetes; exocrine pancreatic insufficiency;

D O I：

10.2169/internalmedicine.52.9019

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 34-year-old man was admitted to our hospital with diabetic ketoacidosis due to fulminant type 1 diabetes. The patient's pancreatic exocrine and endocrine functions were as follows: the bentiromide (PABA) test value on day 14 was 33.9%, thus indicating exocrine dysfunction. One year and a half later, the PABA test value had improved to 71.0%. On the other hand, the serum C-peptide level after meal ingestion was under the detection limit. The mechanisms underlying pancreatic exocrine abnormalities seem to be different from those underlying accelerated pancreatic beta-cell failure in patients with fulminant type 1 diabetes.

引用

页码：573 / 575

页数：3

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