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CASE REPORT article

Front. Endocrinol.
Sec. Clinical Diabetes
Volume 15 - 2024 | doi: 10.3389/fendo.2024.1403893
This article is part of the Research Topic New Trends in Type 2 Diabetes Diagnosis and Management in Primary Care - Volume II View all 5 articles

Case Report: Management of a Young Male Patient with Diabetic Ketoacidosis and Thyroid Storm

Provisionally accepted
Xiaoyu Huang Xiaoyu Huang 1Yan Chen Yan Chen 2Xinwei Huang Xinwei Huang 2Jiahao Tang Jiahao Tang 2*
  • 1 Emergency & Disaster Medicine Center, Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, Guangdong Province, China
  • 2 Department of Endocrinology, Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, Guangdong Province, China

The final, formatted version of the article will be published soon.

    This report describes a case of concomitant diabetic ketoacidosis (DKA) and thyroid storm (TS) in a 20-year-old male patient that presented both diagnostic and management challenges owing to their intricate interrelationship in endocrine-metabolic disorders. The patient, previously diagnosed with type 1 diabetes mellitus (T1DM) and hyperthyroidism, was admitted to the emergency department with symptoms of DKA and progressive exacerbation of TS. Initial treatment focused on correcting DKA; as the disease progressed to TS, it was promptly recognized and treated. This case emphasizes the rarity of simultaneous occurrence of DKA and TS, as well as the challenges in clinical diagnosis posed by the interacting pathophysiological processes and overlapping clinical manifestations of DKA and TS. The patient's treatment process involved multiple disciplines, and after treatment, the patient's critical condition of both endocrine metabolic diseases was alleviated, after which he recovered and was eventually discharged from the hospital. This case report aims to emphasize the need for heightened awareness in patients with complex clinical presentations, stress the possibility of concurrent complications, and underscore the importance of prompt and collaborative treatment strategies.

    Keywords: Diabetic Ketoacidosis, Thyroid storm, recurrent diabetic ketoacidosis, Autoimmune polyendocrine syndrome, case report

    Received: 20 Mar 2024; Accepted: 23 May 2024.

    Copyright: © 2024 Huang, Chen, Huang and Tang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Jiahao Tang, Department of Endocrinology, Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, 518100, Guangdong Province, China

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