A 35-year-old Japanese woman presented with nausea and frequent vomiting that had
begun the previous day. She was slightly confused. Laboratory blood testing revealed
a plasma glucose level of 319 mg/dL and serum hemoglobin A1c level of 11.4%. Venous
blood gas analysis revealed a pH of 7.33, bicarbonate level of 19.6 mmol/L, sodium
level of 144 mEq/L, chloride level of 103 mEq/L, and anion gap of 21.4. The patient
was thus diagnosed with diabetic ketoacidosis, admitted to the hospital, and treated
with insulin and intravenous fluids. Her condition improved and she was discharged
on day 27.
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References
- White nails in hepatic cirrhosis.Lancet. 1954; 266: 757-759
- Terry's nails: a sign of systemic disease.Indian J Dermatol. 2017; 62: 309-311
- Diabetes microvascular complications-A clinical update.Diabetes Metab Syndr. 2017; 11: S133-S139
Article Info
Publication History
Published online: January 08, 2021
Footnotes
Funding: None.
Conflict of Interest: None.
Authorship: Both authors had access to the data and a role in writing this manuscript.
Identification
Copyright
© 2021 Elsevier Inc. All rights reserved.
