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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 331:460-466 August 18, 1994 Number 7
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Case 31-1994— A 25-Year-Old Man with the Recent Onset of Diabetes Mellitus and Congestive Heart Failure
Joel M. Gore, and John T. Fallon

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Presentation of Case

A 25-year-old man was admitted to the hospital because of the recent onset of congestive heart failure and atrial fibrillation.

The patient had been well until four months earlier, when he had a severe upper respiratory tract infection, which resolved with one week of bed rest at home. Two months before admission he was admitted to another hospital because of polydipsia, polyuria, polyphagia, and a weight loss of 9 kg. The blood glucose concentration was as high as 437 mg per deciliter (24.3 mmol per liter). Radiographic study of the chest and an ultrasonographic examination of the abdomen were negative. . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Joel M. Gore's Diagnosis

Pathological Discussion

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