Inpatient diabetes mellitus in the oncology setting.
A.B. is a 32-year-old Caucasian man with a significant, 12-year medical history of diabetes mellitus type I as well as a history of hypertension and hypercholesterolemia. He presented to his primary care doctor with blurred vision and was referred to a retinal specialist, who diagnosed hemorhagic and leukemic retinopathy resulting in limited vision. A complete blood count was drawn during the visit with his retinal specialist. The results were abnormal, revealing a white blood cell count of 30,000/mm3, platelet count of 70,000/mm3, and a hemoglobin of 12.2 gm/dl. The peripheral smear showed peripheral blasts. A.B. was referred to a hematologist, who performed a bone marrow aspiration, confirming the diagnosis of pre-B-cell acute lymphocytic leukemia (ALL). Cytogenetic studies revealed positivity for the Philadelphia chromosome and a translocation of genes 4 and 11.
Schwab
Nancy
N
University of Texas M.D. Anderson Cancer Center, Houston, USA. nschwab789@yahoo.com
Porter
Misty
M
D000328:Adult; D000970:Antineoplastic Agents / Q000009:adverse effects; D001856:Bone Marrow Examination; D003582:Cytogenetics; D003922:Diabetes Mellitus, Type 1 / Q000150:complications* / Q000378:metabolism / Q000517:prevention & control*; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D009722:Nurse Practitioners / Q000458:organization & administration*; D024802:Nurse's Role; D009859:Oncology Nursing / Q000458:organization & administration*; D010353:Patient Education as Topic; D010677:Philadelphia Chromosome; D015452:Precursor B-Cell Lymphoblastic Leukemia-Lymphoma / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D054198:Precursor Cell Lymphoblastic Leukemia-Lymphoma / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D011379:Prognosis; D033581:Stem Cell Transplantation; D014178:Translocation, Genetic
D000970:Antineoplastic Agents