PARTICULAR EVOLUTION OF TYPE 1 DIABETES MELLITUS ASSOCIATED WITH OTHER AUTOIMMUNE DISEASES – A CASE REPORT
Journal Title: Romanian Journal of Diabetes Nutrition and Metabolic Diseases - Year 2011, Vol 18, Issue 2
Abstract
Type 1 diabetes mellitus with autoimmune pathogenesis can be associated with other autoimmune disorders. The most frequent association is with endocrine diseases but many others organs and systems can be affected. This cluster of autoimmune diseases, called polyglandular autoimmune syndrome-PAS, seems to be more probable among patients with older age at the onset of diabetes and female gender. These disorders must be detected and treated in order to provide good metabolic control for these patients, prevent complications, and to increase quality of life. We intended to present the case of a type 1 diabetic female patient, who associated successively, in 3 years autoimmune thyroiditis, pernicious anemia and autoimmune hepatitis. Each time metabolic control was affected and glycated hemoglobin increased. This kind of patients need special care from a multidisciplinary team. The treatment of associated conditions was followed by an improvement in glycemic control expressed by glycated hemoglobin and an increased in the quality of life.
Authors and Affiliations
Aura Diana Reghina, Alice Albu, Daniela Voicu, Tudor Arbanas, Madalina Paunescu, Simona Fica
Keywords
Related Articles
- EP ID EP85554
- DOI -
- Views 137
- Downloads 0
ADVANCED GLYCATION END PRODUCTS MEASURED BY AGE READER IN A GROUP OF PATIENTS WITH OBESITY
Background and Aim: Skin autofluorescence (AF) is a method used to detect the accumulation of Advanced Glycation End Products (AGEs) in skin collagen using AGE Reader. AGEs accumulation is favorised by chronic hype...
EFFECT OF HLA-DR GENOTYPES ON THE CLINICAL MANIFESTATIONS AT THE ONSET OF TYPE 1 DIABETES IN A GROUP OF PATIENTS FROM CONSTANTA COUNTY
Type 1 diabetes mellitus (T1DM) is a metabolic disease with multifactorial etiology characterized by β-cell autoimmune processes. The strongest genetic determinants were proved to be class II genes of the major histocomp...
FEEDING BEHAVIOR EVALUATION IN PERSONS WITH NEWLY DIAGNOSED TYPE 2 DIABETES MELLITUS IN SALAJ COUNTY
The paper analyzes the behavior and eating habits of people newly diagnosed with type 2 diabetes in Sǎlaj county. As a working method a questionnaire was used to assess the nutrition and eating habits; the sample chosen...
THE EPIDEMIOLOGY OF DIABETIC NEUROPATHY
One of the major complications of diabetes mellitus (DM) is represented by the diabetic neuropathy (DN). Different peripheral nerves may be affected through many pathological processes and, therefore, there are many type...
THE REDUCTION OF WEIGHT TROUGH RESTRICTIVE DIET AT OVERWEIGHT FEMALE WITH POLYCYSTIC OVARY SYNDROME COMPARED TO THE OVERWEIGHT FEMALE WITHOUT POLYCYSTIC OVARY SYNDROME
Polycystic ovary syndrome is the most frequent endocrinopathy in reproductive-aged women. The classic symptoms include hirsutism, acnea, overweight, oligo or amenorrhea, infertility. We have compared the effect of the re...