CASE OF A DIABETIC WITH A KIMMELSTIEL-WILSON SYNDROME AND A NORMAL GLUCOSE TOLERANCE
Authors: W S COLLENS, J N SILVERSTEIN, G B DOBKIN
Journal: Annals of Internal Medicine (1959)

Case Reports1 May 1959CASE OF A DIABETIC WITH A KIMMELSTIEL-WILSON SYNDROME AND A NORMAL GLUCOSE TOLERANCEWILLIAM S. COLLENS, M.D., F.A.C.P., JOSEPH N. SILVERSTEIN, M.D., GERALD B. DOBKIN, M.A.WILLIAM S. COLLENS, M.D., F.A.C.P.Search for more papers by this author, JOSEPH N. SILVERSTEIN, M.D.Search for more papers by this author, GERALD B. DOBKIN, M.A.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-50-5-1282 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThis paper reports a patient with diabetes and a Kimmelstiel-Wilson syndrome whose capacity to handle carbohydrate was normal by standard glucose tolerance tests. Although these tests were normal by both the oral and the intravenous routes, the first sign of any abnormality was seen when the patient was exposed to stress by both steroids and infection.CASE REPORTA 42 year old Jewish male first came under observation at the Maimonides Hospital in July, 1954. He was admitted to the surgical service for the treatment of an abscess of the breast. The urine at this time showed 3 plus glycosuria,...Bibliography1. ConnFajans JWSS: Influence of adrenal cortical steroids on carbohydrate metabolism in man, Metabolism 5: 114, 1956. MedlineGoogle Scholar2. KimmelstielWilson PC: Intercapillary lesions in the glomeruli of the kidney, Am. J. Path. 12: 83, 1936. MedlineGoogle Scholar3. ZubrodEversoleDarta CGSLGW: Amelioration of diabetes and striking rarity of acidosis in patients with Kimmelstiel-Wilson lesions, New England J. Med. 245: 518, 1951. CrossrefMedlineGoogle Scholar4. RunyonHurwitzRobbins JWDSL: Effect of Kimmelstiel-Wilson syndrome on insulin requirements in diabetes, New England J. Med. 252: 388, 1955. CrossrefMedlineGoogle Scholar5. EpsteinZupa FHVJ: Clinical correlates of the Kimmelstiel-Wilson lesion, New England J. Med. 254: 896, 1956. CrossrefMedlineGoogle Scholar6. CollensZilinskyBoasGreenwald WSJDLCJJ: Impaired vibratory sense in diabetes mellitus with proteinuria, J. Clin. Investigation 29: 723, 1950. CrossrefMedlineGoogle Scholar7. RootPoteFrehner HFWHH: Triopathy of diabetes: sequence of neuropathy, retinopathy and nephropathy in 155 patients, Arch. Int. Med. 94: 931, 1954. CrossrefGoogle Scholar8. CollensBanowitchColsky WSMMJ: Lipoprotein studies in diabetics with arteriosclerotic disease, J. A. M. A. 155: 814, 1954. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: *Received for publication September 20, 1957.From the Medical Services and the Department of Laboratories of the Maimonides Hospital and the Medical Department, State University of New York, Downstate Medical Center, Brooklyn, New York.Requests for reprints should be addressed to William S. Collens, M.D., 123 Eighth Avenue, Brooklyn 15, N. Y. 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STRAUSS, M.D., WILLIAM P. ARGY JR., M.D., F.A.C.P., GEORGE E. SCHREINER, M.D., F.A.C.P.Relation of Diabetic Control to Development of Vascular ComplicationsRemission in DiabetesDiabetic angiopathy in a patient with normal glucose tolerance and plasma insulin responseNiere bei EndokrinopathienDiabetes and Renal DiseaseDie Diabetische Nephropathie: Eine �bersicht �ber die Morphologie, Pathophysiologie, Pathogenese, Klinik und TherapieAbnormal Glucose Tolerance in Repeatedly Bred Rats With ArteriosclerosisDiabetic glomerulosclerosisRENAL GLOMERULAR AND VASCULAR LESIONS IN PREDIABETES AND IN DIABETES MELLITUS: A STUDY BASED ON RENAL BIOPSIES*†ALBERTO DAYSOG JR., M.D., HAROLD L. DOBSON, M.D., JAMES C. BRENNAN, M.D. 1 May 1959Volume 50, Issue 5Page: 1282-1288KeywordsCarbohydratesCellulitisGlucose toleranceGlucose tolerance testsHyperglycemiaInsulinMedical servicesProteinuriaSteroidsUrine ePublished: 1 December 2008 Issue Published: 1 May 1959 PDF downloadLoading ...