A novel presentation of Addison disease: hypoglycemia unawareness in an adolescent with insulin-dependent diabetes mellitus.
J Pediatr
; 132(5): 882-4, 1998 May.
Article
em En
| MEDLINE
| ID: mdl-9602207
ABSTRACT
A 16-year-old boy with insulin-dependent diabetes mellitus (IDDM) and a history of marginal glycemic control had severe hypoglycemia unawareness and a marked decrease in insulin requirement. His counterregulatory hormone response at the time of hypoglycemia suggested adrenocortical and adrenomedullary dysfunction. Further testing confirmed Addison disease. The patient's hypoglycemia unawareness was reversed by glucocorticoid replacement, although the plasma epinephrine response to hypoglycemia remained undetectable.
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Base de dados:
MEDLINE
Assunto principal:
Doença de Addison
/
Diabetes Mellitus Tipo 1
/
Hipoglicemia
Idioma:
En
Ano de publicação:
1998
Tipo de documento:
Article