Diabetic ketoacidosis as the initial presentation of hyperthyroidism

Chao-Yen Huang; Wei-Lung Chen

doi:10.1016/j.ajem.2015.07.065

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Diabetic ketoacidosis as the initial presentation of hyperthyroidism☆

Chao-Yen Huang, MD

Department of Emergency Medicine, Cathay General Hospital, Taipei 106, Taiwan

Wei-Lung Chen, MD, PhD

Department of Emergency Medicine, Cathay General Hospital, Taipei 106, Taiwan

School of Medicine, Fu-Jen Catholic University, Taipei 242, Taiwan

DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.065

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Abdominal pain is a common chief complaint that encompasses a broad differential diagnosis at emergency department (ED), ranging from general discomfort to life-threatening disease. Abdominal pain induced by a metabolic disorder should also be considered. Diabetic ketoacidosis (DKA) is a common complication of new-onset type 1 diabetes mellitus in young patients. Although DKA that presented to the ED with complaint of abdominal pain is not uncommon, it is precipitated by hyperthyroidism, which is rare and more complicated.

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☆Competing interests: None of the authors have any conflicts to disclose.

Diabetic ketoacidosis as the initial presentation of hyperthyroidism☆

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