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Article
May 1927

ADDISON'S DISEASE AND DIABETES MELLITUS OCCURRING SIMULTANEOUSLY: REPORT OF A CASE

Author Affiliations

PHILADELPHIA

From the Medical Division of the University Hospital.

Arch Intern Med (Chic). 1927;39(5):698-704. doi:10.1001/archinte.1927.00130050095008
Abstract

The combination of diabetes and Addison's disease appears from the literature to be of extremely rare occurrence. Heller1 found this association only once in 800 cases of Addison's disease reviewed by him. Although there are five cases in the entire literature in which the authors state that the patients have had diabetes in conjunction with Addison's disease, the diagnosis in every one of these cases may be questioned. The only evidences of diabetes in the patient referred to by Heller were somnolency and a strongly positive reaction for acetone in the urine. Nothnagel,2 who originally reported this case, referred to it merely as one of Addison's disease with severe cerebral manifestations. Of the four remaining cases, certainly that of Rabé3 and possibly that of West4 were instances of tuberculosis of the suprarenal glands with hemochromatosis and glycosuria. In the former case this diagnosis was proved by pathologic studies. In West's

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