Bilateral pleural effusions, ascites, and facial and peripheral oedema in a 19-year-old woman 2 weeks following commencement of insulin lispro and detemir an unusual presentation of insulin oedema

被引：19

作者：

Lee, P. ^{[1
]}

Kinsella, J. ^{[1
]}

Borkman, M. ^{[1
]}

Carter, J. ^{[1
]}

机构：

[1] Concord Repatriat Gen Hosp, Dept Endocrinol & Metab, Concord, NSW 2139, Australia

来源：

DIABETIC MEDICINE | 2007年 / 24卷 / 11期

关键词：

cardiac failure; detemir; diabetes; insulin oedema; ketoacidosis;

D O I：

10.1111/j.1464-5491.2007.02241.x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Insulin oedema is a rare complication of insulin therapy and usually occurs in patients with Type 1 diabetes. It can present in a variety of ways, from mild peripheral oedema to cardiac failure and massive serosal effusions. We report a 19-year-old woman with newly diagnosed Type 1 diabetes who presented with bilateral pleural effusions, ascites and extensive peripheral oedema 2 weeks after starting insulin therapy. Significant cardiac disease was excluded, and the massive fluid retention resolved spontaneously with conservative management. A review of the literature is presented.

引用

页码：1282 / 1285

页数：4