당뇨병성 케톤산증으로 발현한 말단비대증

저자들은 말단비대증의 전형적인 소견이 나타나기 전에 당뇨병성 케톤산증으로 내원한 환자에서 진단한 말단비대 증 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. In patients with acromegaly, glucose intolerance and diabetes mellitus are one of the frequent manifestations. And the type of diabetes in these patients is usually non-insulin dependent type secondary to insulin resistance caused by growth hormone excess. Therefore, the diabetes mellitus in these patients dose not tend to develop diabetic ketoacidosis. But we experienced and presented the case of a patient with acromegaly hospitalized due to the diabetic ketoacidosis without overt clinical manifestations of acromegaly. This case of acromegaly showed that growth hormone excess could cause diabetic ketoacidosis in the presence of relative insulin deficiency. (J Kor Diabetes Assoc 30:312~315, 2006)