A Case of Young Type 2 Diabetes Mellitus Undetected by Annual Screening with Proliferative Diabetic Retinopathy at Presentation

Daisuke Gotoh, Masanori Iwase, Naoko Torichigai, Yuji Uchizono, Yoichi Kawano, Tatsuro Ishibashi, Mitsuo Iida

Research output: Contribution to journalArticle

Abstract

A 23-year-old nurse admitted for acute-onset visual impairment had undergone annual health checkups including postprandial urine glucose testing but had never glucosuria detected. Her fundus occuli showed marked neovascularization and fluorescein leakage compatible with proliferative diabetic retinopathy, necessitating laser photocoagulation and vitrectomy. Her blood concentration of vascular endothelial growth factor (VEGF) was within normal ranges. Although the present case is considered rare, clinicians should be alert for possible advanced diabetic chronic complications in young patients with new-onset type 2 diabetes mellitus.

Original languageEnglish
Pages (from-to)659-663
Number of pages5
JournalJournal of the Japan Diabetes Society
Volume45
Issue number9
DOIs
Publication statusPublished - Jan 1 2002

All Science Journal Classification (ASJC) codes

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Endocrinology

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