TY  - JOUR
TI  - Management of Acute Kidney Injury in a
Patient with Diabetic Ketoacidosis and Multiple
Autoimmune Diseases
AB  - Background: Type 1 diabetes mellitus (DM) is an autoimmune disease caused by the failure of pancreatic beta cells to secrete
sufficient insulin. Several other autoimmune diseases that involve the endocrine glands may accompany type 1 DM. Prerenal
acute kidney injury due to dehydration occurring during diabetic ketoacidosis (DKA) is a common condition that usually improves with appropriate fluid therapy management.
Case Report: A 9-year-old child presented with DKA and renal failure that was resistant to treatment. Other autoimmune
conditions potentially accompanying the DM were investigated and it was determined that the patient had severe hypothyroidism due to Hashimoto’s thyroiditis. The hypothyroidism was the cause of the treatment-resistant renal failure, which
regressed within days of starting levothyroxine treatment.
Conclusion: In addition to classic causes of renal failure in patients with diabetes, it is important to remember the potential
effects of other underlying autoimmune events, such as hypothyroidism.
AU  - ozsoylu, serkan
AU  - Dursun, Ismail
AU  - Sarikaya, Emre
AU  - trabzon, gül
AU  - Hatipoglu, Nihal
DO  - 10.14744/etd.2021.92489
PY  - 2022
JO  - Erciyes Medical Journal
VL  - 44
IS  - 1
SN  - 2149-2247
SP  - 102
EP  - 105
DB  - TRDizin
UR  - http://search/yayin/detay/522649
ER  -