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Article
June 23, 1917

ACUTE DIABETES WITH ENORMOUS ELIMINATION OF NITROGEN: REPORT OF CASE WITH AT LEAST TEMPORARY RECOVERY

Author Affiliations

Philadelphia

From the Medical Division of the Hospital and the William Pepper Laboratory of the University of Pennsylvania.; Woodward Fellow in Physiological Chemistry.

JAMA. 1917;LXVIII(25):1896-1897. doi:10.1001/jama.1917.04270060304008
Abstract

This case, first, is an excellent example of a certain type of acute diabetes which has received inadequate attention in the literature; secondly, it is of considerable interest on account of the almost unprecedented elimination of nitrogen during the early and fasting days after admission; thirdly, the high figures of ketone elimination deserve mention and emphasize the fallacy of basing prognosis solely on the degree of elimination, and finally, the dietetic and therapeutic measures pursued with prompt success are worthy of brief comment.

REPORT OF CASE  History.—S. W., man, aged 21, Jew, was admitted to the medical division of the University Hospital, Jan. 7, 1917. He stated that until four weeks before he had been in perfect health. Acute superficial pain then developed along the left costal margin, resembling needles being stuck into the skin. Shortly after the onset of the pains, he developed tremendous thirst and also began to

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