fant et des conseils clairs pour la prise en charge initiale de l’acidocétose diabétique, l’initiation de l’insulinothérapie, le dépistage des complications et d’ autres. ACD, acidocétose diabétique. D’après Bergenstal et al. [56]. from publication: Practical implementation, education and interpretation guidelines for continuous . Download Citation on ResearchGate | On Oct 1, , L. Cherki and others published P – Acidocétose diabétique: analyse des facteurs de décompensation.

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Complication rare de l’acidocétose diabétique : le pneumomédiastin – EM|consulte

Top of the page – Diabetiqje Outline. Access to the full text of this article requires a subscription. The chest x-ray demonstrated the subcutaneous emphysema and air in the anterior mediastinum. The causal effect of diabetic acidoketosis in the development of pneumomediastinum in our two patients was retained after ruling out all other potential causes, including chest trauma and asthma.


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Physical examination revealed a poor general health status, tachycardia and polymnea, as well as a painful diffuse tumefaction of the neck with subcutaneous emphysema. Contact Help Who are we?

It can be a rare complication of diabetic acidoketosis. Clinically, the patients presented the cardinal signs of diabetes and a flu-like syndrome associated with dyspnea and chest pain.

The owners of this website hereby guarantee to respect the legal confidentiality conditions, applicable in France, and not to disclose this data to third parties. The pneumomediastinum resolved in both patients within three days on average. The diagnosis of severe metabolic acidosis was retained.


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PneumomediastinumDiabetic acidoketosisMetabolic acidosisHyperventilation. On the computed tomography scan obtained in the second patient, the heart was silhouetted with a hyperlucent zone laterally. Journal page Archives Contents list.

If you want to subscribe to this journal, see our rates You can purchase this item in Pay Per View: Treatment consisted in strict bed rest with oxygen therapy, fluid replacement, insulin and heparin. Outline Masquer le plan.

Blood tests disclosed elevated glycemia and urine was positive for acetone. If you are a subscriber, please sign in ‘My Account’ at the top right of the acidoocetose.