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19 September 2021: Articles

Insulin-Induced Edema in a Patient with Type 2 Diabetes Mellitus

Challenging differential diagnosis, Unusual or unexpected effect of treatment, Diagnostic / therapeutic accidents, Unexpected drug reaction , Rare disease, Clinical situation which can not be reproduced for ethical reasons

Mohammed E. Elmahal A , Mahmoud M. Ramadan B*

DOI: 10.12659/AJCR.931960

Am J Case Rep 2021; 22:e931960

Table 1. Results of laboratory investigations done for the patient on index admission.

Variable (unit)ResultReference range
Total leucocyte count (×10/mL)8.504.0–11.0
Hemoglobin (gm/dL)11.412.0–15.0
Platelet count (×10/mL)307150–450
C-reactive protein (mg/L)13.0≤7.50
Sodium (mmol/L)139135–145
Potassium (mmol/L)3.73.6–5.10
Chloride (mmol/L)10698–107
Calcium (mmol/L)2.262.10–2.60
Phosphorus (mmol/L)1.210.87–1.45
CO (mmol/L)21.523.0–29.0
Bicarbonate (mmol/L)28.522.0–32.0
Random glucose (mmol/L)12.34.0–7.8
Urea (mmol/L)5.02.0–7.1
Creatinine (μmol/L)6653–97
Osmolality (mOsm/kg)276275–295
Total protein (gm/L)7261–79
Albumin (gm/L)3035–52
Total bilirubin (μmol/L)125–21
Alanine aminotransferase (IU/L)2714–54
Alkaline phosphatase (IU/L)7442–98
Prothrombin time (s)12.710–14
Partial thromboplastin time (s)3928–40
D-dimer (mg/L)≤2
Brain-type natriuretic peptide (ng/L)79≤99
Antinuclear antibodyNegativeNegative
Anti-double stranded DNA antibodies (IU/mL)≤30.0
Total cholesterol (mmol/L)3.87≤5.18
Triglycerides (mmol/L)1.32≤1.7
Low-density lipoprotein cholesterol (mmol/L)2.38≤2.59
Thyroid stimulating hormone (mIU/L)8.30.27–4.20
Free T4 (pmol/L)1212–22
Anti-thyroid peroxidase antibodies (kU/L)30≤34
Cortisol level at 8 am (nmol/L)254171–536
Urinary 24-hour albumin (mg)322≤150

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923