Acidocétose compliquée d’une mort fœtale révélant un diabète fulminant au troisième trimestre de grossesse

Bresson, Lucie; Bourgain, A.; Dépret, T.; Vambergue, A.; Dubos, J. P.; Deruelle, Philippe; Houfflin‐Debarge, V.

doi:10.1016/j.jgyn.2010.04.010

Cited by 6 publications

(2 citation statements)

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“…В свою очередь, ДКА вследствие обезвоживания матери приводит к гипоперфузии плаценты и гипоксии плода, существенно увеличивая риск антенатальной гибели [37].…”

Section: Discussionunclassified

The combination of type 1 diabetes and eating disorder during pregnancy

et al. 2022

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The problem of eating disorders currently holds a special place in clinical practice. Bulimia nervosa is one of the main forms of eating disorders, characterized by the difficulty in its treatment and a long, recurrent course. Eating disorders are common in patients with type 1 diabetes mellitus (T1D), especially in adolescent girls.In this article, we present a clinical case of a patient with T1D and bulimia nervosa, which developed before the manifestation of T1D and progressed against its background. The patient is overly concerned with controlling body weight, specifically restricted the intake of carbohydrates, forcibly caused vomiting. During pregnancy fasting ketonuria («low-carb ketone») was repeatedly detected. The minimum weight was 37 kg (BMI 15.2 kg/m2). Particular interest of this case is the course of pregnancy, which ended in the antenatal death. The possible cause could be the restriction on carbohydrate food and prolonged stay in ketosis, that might lead to the development of pregnancy pathology. Additional examination also revealed multiple complications of diabetes and recurrent depressive disorder, which requires conjoint monitoring by an endocrinologist and a psychiatrist.Combination of T1D and eating disorder in a pregnant patient should be considered as an atypical course of the disease.

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Section: Discussionunclassified

The combination of type 1 diabetes and eating disorder during pregnancy

et al. 2022

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“…Fulminant type 1 diabetes is also a well-known cause of pregnancy-related DKA 6. In such cases, the onset is usually in the third trimester or immediately after delivery, and the prognosis for the fetus is extremely poor 3,7,8…”

Section: Discussionmentioning

confidence: 99%

A Case of Fulminant Type 1 Diabetes in a Patient with Type 2 Diabetes Mellitus

Kim

Han

Joung

et al. 2017

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Fulminant type 1 diabetes mellitus is a recently identified subtype of type 1 diabetes characterized by abrupt disease onset, a very short (<1 week) duration of diabetic symptoms, acidosis at diagnosis, negative status of islet-related autoantibodies, and virtually no C-peptide secretion. Cases of fulminant type 1 diabetes are prominently observed in East Asia, with several case reports and studies having originated from Japan. Indeed, a recent study from Japan reported that fulminant type 1 diabetes accounts for 15–20% of type 1 diabetes cases associated with onset of ketosis or ketoacidosis. Since 2005, several fulminant type 1 diabetes cases have also been reported in South Korea; however, there have been no reports of cases in patients previously diagnosed with type 2 diabetes mellitus. Here, we report a rare case of fulminant type 1 diabetes in a patient previously diagnosed with type 2 diabetes.

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