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| [2013] 6. Joo Young Na, Eun Hee Kim, Bon Young Koo, Ik Jo Chung, Byung Ha Choi, Nak Eun Chung |
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| Poster :
Date : 13-12-09 20:10
Hit : 1045
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Publication; issue : 2013 Year 37 Vol 4 iss 212 p
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  (330.3K), Down : 77, 2013-12-09 20:10:45 | |
Cheese-like Material in the Heart: An Autopsy Case Report of Severe Hypertriglyceridemia in Diabetic Ketoacidosis Patient
Korean J Leg Med 2013;37:212-215
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Forensic Medicine Division, National Forensic Service, Seoul, Korea
Health Screening and Promotion Center, Asan Medical Center, Seoul, Korea
E-mail : pdrdream@gmail.com
Here we report an autopsy case of diabetic ketoacidosis (DKA) with severe hypertriglyceridemia (12,900 ㎎/㎗). A 29-year-old woman with a history of type 1 diabetes was found dead at a motel. There was no injury on external inspection, but a lump of cheese-like material was noted in the heart at autopsy and peripheral blood plasma had a creamy appearance. After postmortem biochemical analysis, we made a diagnosis of DKA with severe hypertriglyceridemia and concluded that these unusual autopsy findings were caused by DKA and postmortem change. Uncontrolled diabetes often causes DKA and hypertriglyceridemia. To the best of our knowledge, this is the first report in Korea of DKA with severe hypertriglyceridemia diagnosed by autopsy.
Key Words : Diabetic ketoacidosis, Severe hypertriglyceridemia, Creamy blood, Autopsy
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학회지 
