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

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Light Coagulation
Vision Disorders
Vitrectomy
Diabetic Retinopathy
Diabetes Complications
Fluorescein
Type 2 Diabetes Mellitus
Vascular Endothelial Growth Factor A
Reference Values
Lasers
Nurses
Urine
Glucose
Health

All Science Journal Classification (ASJC) codes

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Endocrinology

Cite this

A Case of Young Type 2 Diabetes Mellitus Undetected by Annual Screening with Proliferative Diabetic Retinopathy at Presentation. / Gotoh, Daisuke; Iwase, Masanori; Torichigai, Naoko; Uchizono, Yuji; Kawano, Yoichi; Ishibashi, Tatsuro; Iida, Mitsuo.

In: Journal of the Japan Diabetes Society, Vol. 45, No. 9, 01.01.2002, p. 659-663.

Research output: Contribution to journalArticle

Gotoh, Daisuke ; Iwase, Masanori ; Torichigai, Naoko ; Uchizono, Yuji ; Kawano, Yoichi ; Ishibashi, Tatsuro ; Iida, Mitsuo. / A Case of Young Type 2 Diabetes Mellitus Undetected by Annual Screening with Proliferative Diabetic Retinopathy at Presentation. In: Journal of the Japan Diabetes Society. 2002 ; Vol. 45, No. 9. pp. 659-663.
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