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유아 당뇨병의 1예

DIABETES MELLITUS IN INFANT

소아과 1961년 2권 2호 p.131 ~ 135
소속 상세정보
진동식/Chin, Dong-Shik 임의선/Lim, Eui-Sun

Abstract


Diabetes mellitus in infant under I year of age is rare. White, in studing 750 patients with juvenile diabetes, found that in only 0.5 per cent had the onset before the age of one. Joslin, in a study of 1,430 diabetic children, found a similar incidence(0.5 per cent). In Korea, we were not able to find any previous report of juvenile diabetes under 15 ;years of age. Because of the rarity, we are presenting this report of a patient on our service.
Case report
A 6 months old Korean male infant was admitted to Severance Hospital on December 12, 1958, with stickiness of urine, dysuria(crying on urination) and failure to gain weight for his age.
His grand-grand mother, who had every evidence of diabetes mellitus but this was not confirmed medically, had died of cancer. Otherwise family history was not contributory.
On admission, the patient weighed 6.25kg and appeared moderately dehaydrated. Fasting blood sugar was 467mgm per 100 ml. of blood. A urinalysis showed a 4 plus sugar and 3 plus acetone.
The patient was put on regular insulin one unit daily at first and insulin dosage was gradually increased intending to control blood sugar between 100 to

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