당뇨병성 케톤산증으로 발현된 갑상선 기능항진증 1예

당뇨병성 케톤산 혈증은 당뇨병 발생 자체, 감염, 부적절한 인슐린 투여 및 중단이 흔한 원인으로 보고되어 있다. 저자들은 제1형 당뇨병 환자에게서 위의 유발인자 없이 갑상선 항진증에 의해 유발된 당뇨병성 케톤산증의 1예를 경험하였기에 이를 문헌고찰과 함께 보고하는 바이다. Diabetic ketoacidosis is an acute complication of diabetic mellitus. The most common triggering factors are infection, insulin therapy omission and the onset of the disease, but if these are excluded, other less frequent etiologic factors must be ruled out. We report a case of 22-year-old woman with Graves' disease presented as diabetic ketoacidosis. She was diagnosed type 1 diabetes mellitus at 13 years old and continually has been treated with insulin therapy until now. She typically showed tachycardia at rest in spite of correction of metabolic acidosis. Hyperthyroidism worsens glycemic control in diabetic patients and may precipitate diabetic ketoacidosis. Hyperthyroidism always should be investigated in diabetic patients presenting diabetic ketoacidosis without obvious triggering factors. KCI Citation Count: 1