PDF(Pubmed)
Abstract：
Hyperketonemia is a risk factor for prurigo pigmentosa; therefore, diabetic ketosis and ketoacidosis as background diseases are more frequent in prurigo pigmentosa. However, it is underrecognized by clinicians and easily missed. Herein, we present a case of diabetic ketoacidosis in which prurigo pigmentosa was recognized as a dermadrome. A 37-year-old woman with no medical history presented with thirst, polydipsia, and polyuria approximately 1 month prior to transport. and a pruritic skin rash on both shoulders 1 week later. After no diagnosis by a local dermatologist, the patient was diagnosed with diabetic ketoacidosis, and insulin therapy was initiated at our hospital. Based on the patient\'s history, post-hospitalization course, and pathological findings, the pruritic skin rash was diagnosed as prurigo pigmentosa. The clinical course suggested that prurigo pigmentosa is a dermadrome of diabetic ketosis and ketoacidosis. The medical clinicians\' awareness of its relevance is crucial for designing therapeutic interventions for diabetic ketosis and ketoacidosis.
摘要：
高酮症是色素性瘙痒的危险因素；因此，糖尿病酮症和酮症酸中毒作为背景疾病在色素性瘙痒中更为常见。然而,临床医生认识不足，容易错过。在这里，我们介绍了一例糖尿病酮症酸中毒，其中色素性痒疹被认为是dermadrome。一名37岁无病史的女性口渴,多饮,和多尿约1个月前运输。1周后双肩出现瘙痒性皮疹。在当地皮肤科医生没有诊断后，病人被诊断为糖尿病酮症酸中毒,胰岛素治疗在我们医院开始。根据病人的病史,住院后课程，和病理结果，瘙痒性皮疹被诊断为色素性瘙痒。临床过程表明，色素性瘙痒是糖尿病酮症和酮症酸中毒的一种皮肤病。临床医生对其相关性的认识对于设计糖尿病酮症和酮症酸中毒的治疗干预措施至关重要。
