WILLIAM S. COLLENS, M.D., F.A.C.P.; JOSEPH N. SILVERSTEIN, M.D.; GERALD B. DOBKIN, M.A.
This paper reports a patient with diabetes and a Kimmelstiel-Wilson syndrome whose capacity to handle carbohydrate was normal by standard glucose tolerance tests. Although these tests were normal by both the oral and the intravenous routes, the first sign of any abnormality was seen when the patient was exposed to stress by both steroids and infection.
A 42 year old Jewish male first came under observation at the Maimonides Hospital in July, 1954. He was admitted to the surgical service for the treatment of an abscess of the breast. The urine at this time showed 3 plus glycosuria,
COLLENS WS, SILVERSTEIN JN, DOBKIN GB. CASE OF A DIABETIC WITH A KIMMELSTIEL-WILSON SYNDROME AND A NORMAL GLUCOSE TOLERANCE(CASE OF A DIABETIC WITH A KIMMELSTIEL-WILSON SYNDROME AND A NORMAL GLUCOSE TOLERANCE*). Ann Intern Med. 1959;50:1282–1288. doi: 10.7326/0003-4819-50-5-1282
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Published: Ann Intern Med. 1959;50(5):1282-1288.
Cardiology, Coronary Risk Factors, Diabetes, Diabetic Nephropathy, Endocrine and Metabolism.
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