DIABETIC-KETOACIDOSIS ASSOCIATED WITH THE PHEOCHROMOCYTOMA OF YOUTH

We report a case of diabetic ketoacidosis (DKA) associated with pheoch romocytoma in a college student of 22 years of age who was admitted to hospital because of hyperglycemia and hypertension with palpitations and subsequently was found to have an adrenalin and noradrenalin secre ting pheochromocytoma. A diagnosis was made and the patient's impaired glucose tolerance and hypertension improved by tumor excision. This i s the first reported case of a noradrenalin-predominant pheochromocyto ma with associated DKA. Although DKA has been thought not to occur wit h pheochromocytoma, the possible cause of DKA associated with pheochro mocytoma is now described. It is important to point out, as a clinical manager, that severe hypertension is a very unusual concomitant of DK A in young people and is the main indication for further examination.