FATAL DIABETIC COMA WITH ACUTE RENAL FAILURE
Authors: Maynard E. Holmes
Journal: Annals of Internal Medicine (1935)

Article1 October 1935FATAL DIABETIC COMA WITH ACUTE RENAL FAILUREMAYNARD E. HOLMES, M.D., F.A.C.P.MAYNARD E. HOLMES, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-9-4-426 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptSeveral observers have called attention to the presence of impairment of renal function in diabetic coma. Fitz1in 1917 demonstrated that some degree of kidney insufficiency accompanied nearly all cases of severe diabetic acidosis. Joslin2states that in diabetic coma oliguria and moderate nitrogen retention are common but that anuria occurs only occasionally. Warburg3in an admirable review of this subject emphasizes the fact that it is not generally recognized that kidney function may become very deficient in diabetic acidosis. In 1931 Labbe and Boulin,4after a careful review of the literature on the subject, were able to collect only...Bibliography1. FITZ R: Observations on kidney function in diabetes mellitus, Arch. Int. Med., 1917, xx, 809-827. CrossrefGoogle Scholar2. JOSLIN EP: The treatment of diabetes mellitus, 4th ed., 1928, Lea and Febiger, Philadelphia. Google Scholar3. WARBURG E: Diabetic coma complicated with uremia; early history of diabetic coma, Acta med. Scandinav., 1925, lxi, 301-334. Google Scholar4. LABBEBOULIN MR: Les modifications de l'urée du sang au cours du coma diabétique, Ann. de méd., 1931, xxix, 386-409. Google Scholar5. LYALLANDERSON AAG: Diabetic coma; significance of alteration in blood-urea, Quart. Jr. Med., 1932, i, 353-360. Google Scholar6. JOSLIN EP: Diabetic coma, Med. Clin. N. Am., 1929, xiii, 11-40. Google Scholar7. MARBLEROOTWHITE AHFP: Diabetic coma, New England Jr. Med., 1935, ccxii, 288-297. CrossrefGoogle Scholar8. COBURN AF: Diabetic ketosis and functional renal insufficiency, Am. Jr. Med. Sci., 1930, clxxx, 178-192. CrossrefGoogle Scholar9. RABINOWITCH IM: Kidneys in diabetic coma, Canad. Med. Assoc. Jr., 1929, xxi, 274-276. Google Scholar10. STARRFITZ PR: Excretion of organic acids in the urine of patients with diabetes mellitus, Arch. Int. Med., 1924, xxxiii, 97-108. CrossrefGoogle Scholar11. BOCKFIELDADAIR AVHGS: Acid-base equilibrium in diabetic coma, being a study of 5 cases treated with insulin, Jr. Metab. Res., 1924, iv, 27-64. Google Scholar12. ATCHLEY DW: Dehydration and medical shock, Bull. New York Acad. Med., 1934, x, 138-150. Google Scholar13. BULGERPETERS HAJP: Concentration of the blood and urine in diabetic toxemia, Arch. Int. Med., 1925, xxxvi, 857-873. CrossrefGoogle Scholar14. PETERSKYDDEISENMAN JPDMAJ: Serum proteins in diabetic acidosis, Jr. Clin. Invest., 1933, xii, 355-376. CrossrefGoogle Scholar15. BLUMGRABARVAN CAULAERT LP: L'azotémie par manque de sel dans le diabéte grave, Ann. de méd., 1929, xxv, 23-33. Google Scholar16. PETERS JP: Total acid-base equilibrium of plasma in health and disease; studies of diabetes, Jr. Clin. Invest., 1925, ii, 167-211. CrossrefGoogle Scholar17. HARTMANNDARROW AFDC: Chemical changes occurring in body as result of certain diseases in infants and children; acute hemorrhagic nephritis; subacute nephritis; severe chronic nephritis, Jr. Clin. Invest., 1928, vi, 127-157. CrossrefGoogle Scholar18. FULLERTONLYALLDAVIDSON HWALS: Treatment of diabetic uremia with hypertonic glucose solutions, Lancet, 1932, i, 558-560. CrossrefGoogle Scholar19. ATCHLEY DW: On diabetic acidosis; detailed study of electrolyte balances following withdrawal and reëstablishment of insulin therapy, Jr. Clin. Invest., 1933, xii, 297-326. CrossrefGoogle Scholar20. GAMBLE JL: Dehydration, New England Jr. Med., 1929, cci, 909-917. Google Scholar21. BACONANSLOWEPPLER DKREHH: Intestinal obstruction, Arch. Surg., 1921, iii, 641-654. CrossrefGoogle Scholar22. BAYER LM: Six fatal cases of diabetic acidosis, with special reference to occurrence of acute pancreatic necrosis in one and severe nephrosis in another, Am. Jr. Med. Sci., 1930, clxxix, 671-683. CrossrefGoogle Scholar23. MACNIDER WD: Studies concerning influence of disturbance in acid-base equilibrium of blood on renal function and pathology, Jr. Metab. Res., 1923, iii, 511-582. Google Scholar24. SNAPPER I: Rôle of kidney in non-renal disorders, Proc. Royal Soc. Med., 1928, xxi, 73-76. Google Scholar25. KRAUSSELYE EJH: Über die Veränderungen der Niere beim Insulinbehandelten Coma diabeticum mit Ausgang in Urämie, Klin. Wchnschr., 1928, vii, 1627-1630. CrossrefGoogle Scholar26. ROOT HF: Anuria following diabetic coma relieved by hypertonic salt solution, Jr. Am. Med. Assoc., 1934, ciii, 482-483. CrossrefGoogle Scholar27. JOHN HJ: Diabetic coma complicated by acute retention of urine, Jr. Am. Med. Assoc., 1925, lxxxiv, 1400-1401. CrossrefGoogle Scholar28. HARTMANNDARROW AFDC: Chemical changes occurring in body as result of certain diseases; composition of plasma in severe diabetic acidosis and changes taking place during recovery, Jr. Clin. Invest., 1928, vi, 257-276. CrossrefGoogle Scholar29. MARRIOTTHARTMANN MAF: Newer aspect of acidosis, Jr. Am. Med. Assoc., 1928, xci, 1675-1679. CrossrefGoogle Scholar30. BOWENHEKIMIAN BDI: Diabetic coma; report of 81 instances, ANN. INT. MED., 1930, iii, 1104-1111. LinkGoogle Scholar31. LEMANN II: Futility of alkali treatment in diabetic coma; analysis of 47 cases, Am. Jr. Med. Sci., 1930, clxxx, 266-271. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: *Read at the Philadelphia meeting of the American College of Physicians, April 29, 1935.From the Department of Medicine, University Hospital, Syracuse University School of Medicine. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 October 1935Volume 9, Issue 4Page: 426-435KeywordsAcute renal failureComaHospital medicineKidneysMedical servicesRenal failure ePublished: 1 December 2008 Issue Published: 1 October 1935 PDF downloadLoading ...