Reversible Blindness as Presenting Manifestation of Severe Diabetic Ketoacidosis
| Autor: | Lee B. Bockus, Ahmed Awab, Amna Mohyud Din Chaudhary, Zain Ul Abideen Asad |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Abdominal pain genetic structures endocrine system diseases Diabetic ketoacidosis Glaucoma Blindness Diabetic Ketoacidosis Diagnosis Differential Cataracts Polyuria Diabetes mellitus medicine Humans business.industry nutritional and metabolic diseases General Medicine Middle Aged medicine.disease eye diseases Diabetes Mellitus Type 1 medicine.symptom Complication business Retinopathy |
| Zdroj: | The American Journal of the Medical Sciences. 357:164-167 |
| ISSN: | 0002-9629 |
| DOI: | 10.1016/j.amjms.2018.09.013 |
| Popis: | The presenting symptoms of diabetic ketoacidosis (DKA) include abdominal pain, polyuria and nausea. Diabetes has well known chronic ocular complications like glaucoma, cataracts and retinopathy. We report a case of reversible blindness as a presenting manifestation of DKA that has been reported in literature only 3 times previously. Our objective is to highlight a rare manifestation of a common disease. A 59-year-old male presented with painless vision loss for 3 days and was found to have DKA. The blindness was completely reversed with insulin and bicarbonate treatment. The dramatic presentation and reversibility of blindness was found to be intimately tied with the pH of the patient's serum. Our report gives mechanistic insight for this interesting condition. Clinicians should be aware of reversible blindness as a complication of DKA. Timely correction of the severe acidosis and other metabolic disturbances of DKA may be instrumental in preventing permanent vision loss. |
| Databáze: | OpenAIRE |
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