당뇨병성 케톤산증과 동반된 편무도증 1예 (A case of hyperglycemia-induced hemiballism-hemichorea associated with diabetic ketoacidosis)

서지정보

· 발행기관 : 대한내과학회
· 수록지 정보 : 대한내과학회지 / 79권 / 1호 / 62 ~ 66페이지
· 저자명 : 김현성, 이서희, 강준구, 김철식, 임성희, 유형준, 이성진

초록

저자들은 당뇨병의 과거력이 없으면서 건강하게 지내던 중 제2형 당뇨병, 당뇨병성 케톤산증, 급성 신부전과 동반된 편무도증이 발병한 환자에서 충분한 수액공급과 인슐린 투여 등으로 집중 치료한 결과 편무도증이 소실된 증례를 국내에서 처음으로 경험하였기에 문헌고찰과 함께 보고하는 바이다.

영어초록

Hemiballism-hemichorea (HB-HC) is defined as continuous, non-patterned, and involuntary movement involving one side of the body and is often associated with endocrine diseases such as diabetes mellitus (DM) and hyperthyroidism. In Korea, 16 cases of HB-HC associated with non-ketotic hyperglycemia have been reported. Here, we report the first known case of HB-HC associated with type 2 DM and diabetic ketoacidosis (DKA). A 32-year-old man visited our hospital complaining of hemichoreoballistic movement. The patient had no history of DM. In a neurological examination and laboratory tests, HB-HC associated with type 2 DM and DKA was diagnosed. The patient was immediately treated with intravenous hydration and insulin therapy, and completely recovered. DKA and non-ketotic hyperglycemia should be considered as a possible cause of HB-HC, although these are very rare. In HB-HC associated with DKA, strict blood glucose control is needed.

참고자료

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