An unusual presentation of diabetic ketoacidosis in familial hajdu-cheney syndrome: a case report.
Lee, GH; An, SY; Sohn, YB; Jeong, SY; Chung, YS
Journal of Korean medical science, 28(11):1682-1686, 2013
Journal of Korean medical science
A 21-year-old man with diabetic ketoacidosis (DKA) displayed short and clubbed fingers and marked eyebrow, which are typical of Hajdu-Cheney Syndrome (HCS). Laboratory findings confirmed type 1 diabetes mellitus (DM). After conservative care with hydration and insulin supply, metabolic impairment was improved. Examinations of bone and metabolism revealed osteoporosis and craniofacial abnormalities. The mutation (c.6443T>G) of the NOTCH2 gene was found. The patient was diagnosed with HCS and DM. There may be a relationship between HCS and DM, with development of pancreatic symptoms related to the NOTCH2 gene mutation.
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