Isolated growth hormone deficiency after cerebral edema complicating diabetic ketoacidosis

Autor: Richard J. Keller, Joseph I. Wolfsdorf
Rok vydání: 1987
Předmět:
Zdroj: The New England journal of medicine. 316(14)
ISSN: 0028-4793
Popis: CEREBRAL edema developing during the treatment of diabetic ketoacidosis is an uncommon but important cause of morbidity and mortality in children with diabetes mellitus.1 2 3 4 This 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 Report A girl four years and eight months old presented at a community hospital emergency room with classic symptoms of diabetic ketoacidosis. She was somnolent and . . .
Databáze: OpenAIRE