Abstract | BACKGROUND: CASE PRESENTATION: We report a 31-year-old Japanese woman who showed upper abdominal pain and was admitted to a local hospital. She was initially diagnosed with acute pancreatitis based on serum amylase elevation and swelling of the pancreas on computed tomography. Four days after admission, she developed diabetic ketoacidosis and was transferred to our hospital. Her symptoms and laboratory findings met the FT1D criteria. On the 3rd hospital day, electrocardiography (ECG) showed ST-segment elevation, and serum cardiac enzymes were markedly elevated. Because she exhibited late gadolinium enhancement in the apical wall on contrast-enhanced cardiac magnetic resonance imaging, she was diagnosed as acute myocarditis. Abnormal ECG findings and elevations of biomarkers associated with myocarditis showed improvement on the next day. CONCLUSIONS:
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Authors | Fujiko Egashira, Midori Kawashima, Ai Morikawa, Minami Kosuda, Hisamitsu Ishihara, Kentaro Watanabe |
Journal | BMC endocrine disorders
(BMC Endocr Disord)
Vol. 20
Issue 1
Pg. 127
(Aug 18 2020)
ISSN: 1472-6823 [Electronic] England |
PMID | 32811476
(Publication Type: Case Reports, Journal Article)
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Topics |
- Acute Disease
- Adult
- Diabetes Mellitus, Type 1
(complications, diagnosis)
- Diabetic Ketoacidosis
(diagnosis, etiology)
- Female
- Humans
- Japan
- Myocarditis
(diagnosis, etiology)
- Pancreatitis
(diagnosis, etiology)
- ST Elevation Myocardial Infarction
(diagnosis, etiology)
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