Year: 1957
Type: article
Abstract: Rheumatic fever and diabetes mellitus rarely coexist (Joslin et al., 1952).An opportunity to investigate this unusual combination of disease was provided by a young male diabetic (Case 1), known to take insulin.who was receiving full salicylate treatment for acute rheumatism when admitted to hospital.At the outset we were confronted with a problem, for his urine was sugar-free and the fasting blood-sugar level was normal, though he was receiving only aspirin.The possibilities first entertained were that the previous diagnosis of diabetes was in- accurate or that spontaneous remission of the disease had occurred: neither seemed likely, and the diagnostic dilemma was resolved by the reappearance of sugar in the urine one week after discharge from hospital, when aspirin had been discontinued.On re-examination at this time he was found to have glycosuria, a high fasting blood sugar, and a diabetic glucose-tolerance curve (Fig. l).
Source: BMJ
Authors: J. Reid, A. I. Macdougall, M. M. Andrews
Institutions: Western Infirmary, Medical Research Council
Language: English
Subfield: Endocrinology, Diabetes and Metabolism
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W2013895711