A case of autoimmune type 1 diabetes mellitus complicated by myasthenia gravis and graves' disease

Shoko Nakajima, Masaaki Matsunaga, Miyuki Shibata, Noriko Kusada, Kotaro Nakashima, Akemi Inagaki, Keizo Yasui, Hiromu Yoshioka, Toyonori Tsuduki, Yoshio Nomura

研究成果: Article査読

1 被引用数 (Scopus)

抄録

A 35-year-old woman with type 1 diabetes was admitted to our hospital after reporting general fatigue, palpitations and diplopia in February 20xy. At 15 years of age, she was started on treatment with insulin therapy for type 1 diabetes. Five years later, she received a diagnosis of myasthenia gravis (MG'. On admission, a blood test showed apparent Graves' disease, and the patient's glycemic control was poor. Therefore, we began treatment with an insulin pump in addition to thymectomy for MG followed by the administration of tacrolimus and prednisolone as immunosuppressive therapy. Thereafter, tight glycemic control was maintained with adjustments to the basal injection rate. The patient was therefore given a diagnosis of type 3 polyglandular autoimmune syndrome complicated by type 1 diabetes mellitus, MG and Graves' disease in which the difficult to control diabetes was successfully managed with an insulin pump.

本文言語English
ページ(範囲)198-205
ページ数8
ジャーナルJournal of the Japan Diabetes Society
58
3
出版ステータスPublished - 2014
外部発表はい

All Science Journal Classification (ASJC) codes

  • 内科学
  • 内分泌学、糖尿病および代謝内科学
  • 内分泌学

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