A Case of Fulminant Type 1 Diabetes Mellitus Complicated with Ischemic Ileitis.

Oh, Se Won; Park, Ju Ri; Lee, Yun Jeong; Kim, Hee Yeong; Seo, Ji A; Kim, Nan Hee; Choi, Kyung Mook; Baik, Sei Hyun; Choi, Dong Seop; Kim, Sin Gon

doi:2009.24.2.116

Endocrinol Metab > Volume 24(2); 2009 > Article

Case Report

Journal of Korean Endocrine Society 2009;24(2):116-120.
DOI: https://doi.org/10.3803/jkes.2009.24.2.116 Published online June 1, 2009.

A Case of Fulminant Type 1 Diabetes Mellitus Complicated with Ischemic Ileitis.

Se Won Oh, Ju Ri Park, Yun Jeong Lee, Hee Yeong Kim, Ji A Seo, Nan Hee Kim, Kyung Mook Choi, Sei Hyun Baik, Dong Seop Choi, Sin Gon Kim

Department of Internal Medicine, Korea University College of Medicine, Korea.

Abstract

Fulminant type 1 diabetes is characterized by diabetes with an abrupt onset, severe metabolic acidosis at diagnosis, a low HbA1c level and negativity for islet cell-related autoantibodies, and this illness has been classified as type 1B diabetes by the WHO. The prevalence of this disease is higher in Japan than any other country and recently, there have been an increasing number of such case reports in Korea. Genetic factors and environmental factors such as virus infection and an immune mechanism have been suggested as the mechanism of the pathophysiology, but this remains to be clarified.

Key Words: fulminant, ischemic ileitis, type 1 diabetes mellitus