A Case of Type 2 Diabetes Mellitus With Hepatic Encephalopathy Without Liver Cirrhosis

DOI

Bibliographic Information

Other Title
  • 肝硬変を伴わずに肝性脳症を来した2型糖尿病の1例

Abstract

<p>We present the case of a 69-year-old man with type 2 diabetes mellitus. He had a medical history of hereditary hemorrhagic telangiectasia. Four months after being aware of the carbohydrate restriction, he was admitted to our hospital because of hyperglycemia and impaired consciousness. After admission, the patient was diagnosed with hyperammonemia and a portacaval shunt. BCAA treatment was initiated to prevent loss of muscle mass. Laxatives and metformin were administered, and the poor absorption of antibiotics, kanamycin, hyperammonemia, and consciousness disturbance improved. The quantity and quality of protein intake and defecation control are common issues in both hepatic encephalopathy and diabetes. To improve the patient's prognosis, as in this case, it is useful to consider treatment from multiple perspectives.</p>

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Keywords

Details 詳細情報について

  • CRID
    1390018198840130944
  • DOI
    10.11213/tonyobyo.67.164
  • ISSN
    1881588X
    0021437X
  • Text Lang
    ja
  • Data Source
    • JaLC
  • Abstract License Flag
    Disallowed

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