title: Recovery from exocrine pancreatic insufficiency in a patient with fulminant type 1 diabetes.
abstract: A 34-year-old man was admitted to our hospital with diabetic ketoacidosis due to fulminant type 1 diabetes. The patient's pancreatic exocrine and endocrine functions were as follows: the bentiromide (PABA) test value on day 14 was 33.9%, thus indicating exocrine dysfunction. One year and a half later, the PABA test value had improved to 71.0%. On the other hand, the serum C-peptide level after meal ingestion was under the detection limit. The mechanisms underlying pancreatic exocrine abnormalities seem to be different from those underlying accelerated pancreatic beta-cell failure in patients with fulminant type 1 diabetes.
authors: Department of Internal Medicine, Tokyo Rinkai Hospital, Japan. ynishiza@juntendo.ac.jp
authors: Hajime M
authors: HM
authors: Koyano
authors: Takao
authors: T
authors: Matsumoto
mesh_terms: D000328:Adult; D000818:Animals; D003922:Diabetes Mellitus, Type 1 / Q000150:complications / Q000175:diagnosis* / Q000503:physiopathology; D016883:Diabetic Ketoacidosis / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology; D010188:Exocrine Pancreatic Insufficiency / Q000150:complications / Q000175:diagnosis* / Q000503:physiopathology; D005517:Foodborne Diseases / Q000150:complications / Q000175:diagnosis* / Q000503:physiopathology; D006801:Humans; D008297:Male; D010125:Ostreidae; D020127:Recovery of Function