Diabetic ketoacidosis as a complication of immune checkpoint inhibitor therapy

Nathan L. Haas , Jordan Sell , Benjamin S. Bassin , Frederick K. Korley
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引用次数: 0

Abstract

Background

Diabetic ketoacidosis (DKA) is a rare complication of immune checkpoint inhibitor (ICI) therapy, a treatment used for many malignancies.

Case reports

We present two cases of adults, one without a prior history of diabetes, presenting to the Emergency Department (ED) with DKA induced by ICI therapy.

Why should an emergency physician be aware of this? The emergency physician should be aware of the spectrum of complications associated with ICI therapy, and should remain vigilant in patients presenting with symptoms of DKA and/or unexplained elevated anion gap metabolic acidosis, as DKA in patients without a history of diabetes mellitus can go unrecognized.

糖尿病酮症酸中毒是免疫检查点抑制剂治疗的并发症
背景:糖尿病酮症酸中毒(DKA)是免疫检查点抑制剂(ICI)治疗的一种罕见并发症,免疫检查点抑制剂用于许多恶性肿瘤的治疗。病例报告我们报告了两例成人病例,其中一例没有糖尿病病史,因ICI治疗引起的DKA而就诊于急诊科(ED)。急诊医生为什么要意识到这一点?急诊医师应了解与ICI治疗相关的一系列并发症,并应对出现DKA症状和/或不明原因的阴离子间隙代谢性酸中毒升高的患者保持警惕,因为没有糖尿病史的患者可能无法识别DKA。
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来源期刊
JEM reports
JEM reports Emergency Medicine
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