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Diabetes Mellitus and Cardiogenic Shock Complicating Acute Myocardial Infarction

Diabetes mellitus (diabetes) increases the risk of acute myocardial infarction, which can result in cardiogenic shock. Data on the relation of diabetes and the occurrence and prognosis of cardiogenic shock postacute myocardial infarction are scant. Methods Among the National Inpatient Sample patients aged ≥18 years and hospitalized for acute myocardial infarction during the 2012-2014 period, […]

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From Mechanical to Chemical: A Case of Diabetes Insipidus Induced by Concussive Brain Injury

Diabetes insipidus is a rare disorder of water-electrolyte balance characterized by either absolute (central) or functional (nephrogenic) deficiency of vasopressin or antidiuretic hormone.1 Central diabetes insipidus is a recognized complication of traumatic brain injury; however, those patients are much sicker and have other symptoms from the trauma as well.2 We present a case of complete central diabetes […]

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Clinical Features and Prognosis of Type 2 Myocardial Infarction in Acutely Decompensated Diabetic Patients

After the introduction of the universal definition of myocardial infarction, the incidence and diagnosis of type 2 myocardial infarction have risen dramatically, yet there are no clear guidelines on clinical management. Diabetic patients are at high risk for developing type 2 myocardial infarction when admitted in a decompensated state, and they are also at high […]

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Diabetic Cystopathy with Bilateral Hydronephrosis

A 40-year-old man with poorly controlled diabetes mellitus (glycated hemoglobin 19%) with related peripheral neuropathy, nephropathy, and proliferative retinopathy presented with epigastric discomfort, anorexia, polyuria, polydipsia, nausea, and diminished urine output. His longstanding use of insulin was halted in the preceding month owing to termination of employment and loss of health insurance coverage. Examination revealed […]

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Acquired Generalized Lipodystrophy Following Immune Thrombocytopenia

We describe an adult male patient with acquired generalized lipodystrophy preceded by autoimmune thrombocytopenia. A 44-year-old man with adult-onset type I diabetes presented with 4 weeks of fat wasting in his face, neck, torso, and arms. He was hospitalized 9 months earlier for epistaxis and isolated thrombocytopenia with a presenting platelet count of 3 k/μL. […]

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