Limb Ischemia in a Patient with Hyperosmolar Hyperglycemic State

منو

" Limb Ischemia in a Patient with Hyperosmolar Hyperglycemic State "
Al Hazmi, Ahmed; Manning, Sara

Document Type	:	AL
Record Number	:	928013
Doc. No	:	LA7rs8z600
Language of Document	:	English
Main Entry	:	Al Hazmi, Ahmed; Manning, Sara
Title & Author	:	Limb Ischemia in a Patient with Hyperosmolar Hyperglycemic State [Article]\ Al Hazmi, Ahmed; Manning, Sara
Title of Periodical	:	Clinical Practice and Cases in Emergency Medicine
Volume/ Issue Number	:	2/4
Date	:	2018
Abstract	:	A 61-year-old male with a recent diagnosis of pemphigus vulgaris was brought to the emergency department for altered mental status. He had recently started taking prednisone to manage his autoimmune disease and had a progressive decline in his mental status along with decreased oral intake. Evaluation revealed hyperosmolar hyperglycemic state (HHS) and occlusive arterial thrombosis, a rare but known complication of HHS. He was resuscitated aggressively with intravenous fluids, insulin, and heparin and admitted to the intensive care unit. Emergency physicians should remain vigilant for ischemic complications in patients with HHS. Early recognition and treatment can reduce the morbidity and mortality associated with this endocrine emergency.