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논문 기본 정보

자료유형
학술저널
저자정보
Lee Sumin (Department of Pediatrics Pusan National University Children’s Hospital Yangsan Korea) Yoo Sukdong (Department of Pediatrics Pusan National University Children’s Hospital Yangsan Korea) Yoon Ju Young (Department of Pediatrics Pusan National University Children’s Hospital Yangsan Korea) Cheon Chong Kun (Department of Pediatrics Pusan National University Children’s Hospital Yangsan Korea 2Research Institute for Convergence of Biomedical Science and Technology Pusan National University Yangsan Hospital) Kim Young A (Department of Pediatrics Pusan National University Children’s Hospital Yangsan Korea 2Research Institute for Convergence of Biomedical Science and Technology Pusan National University Yangsan Hospital)
저널정보
대한소아내분비학회 Annals of Pediatirc Endocrinology & Metabolism Annals of Pediatric Endocrinology & Metabolism 제28권 제1호
발행연도
2023.3
수록면
61 - 66 (6page)
DOI
10.6065/apem.2142108.054

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The hyperglycemic hyperosmolar state (HHS) is considered the most fatal complication of type 2 diabetes mellitus (DM). The number of case reports describing pediatric HHS has increased recently in parallel with obesity and the prevalence of type 2 DM in pediatric patients. In this study, we investigated the patient characteristics and outcomes of HHS in 9 adolescents with obesity and type 2 DM. Almost all patients exhibited mixed clinical features of HHS and diabetic ketoacidosis (DKA), including characteristics such as hyperosmolality and ketoacidosis. These features made definitive diagnosis difficult; 5 out of 9 patients were initially diagnosed with DKA and were treated accordingly. Patients who were initially diagnosed with HHS received a more vigorous and appropriate fluid replacement than other patients did. No patients died, although 3 exhibited complications, such as arrhythmia, acute kidney injury requiring renal replacement therapy, rhabdomyolysis, and acute pancreatitis. Hyperosmolality with consequent severe dehydration is considered a significant factor contributing to the outcomes of patients with HHS. Therefore, early recognition of hyperosmolality is crucial for an appropriate diagnosis and adequate fluid rehydration to restore perfusion in the early period of treatment to improve patient outcomes for this rare but serious emerging condition in pediatric patients.

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