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Type 1 diabetes complicated with uncontrollable adult cyclic vomiting syndrome: a case report

We herein describe the case of a 29-year-old woman with type 1 diabetes from 10 years of age who developed adult cyclic vomiting syndrome. Beginning at 25 years of age, she was frequently hospitalized for stress-induced vomiting. Her vomiting episodes developed acutely and remitted after severe vomi...

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Autores principales: Ogiso, Kazuma, Koriyama, Nobuyuki, Akao, Ayako, Otsuji, Mayumi, Goto, Takahiko, Fujisaki, Natsuko, Minobe, Machiko, Kinowaki, Mayumi, Matsuki, Shigeru
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4580314/
https://www.ncbi.nlm.nih.gov/pubmed/26401489
http://dx.doi.org/10.1186/s40200-015-0206-6
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author Ogiso, Kazuma
Koriyama, Nobuyuki
Akao, Ayako
Otsuji, Mayumi
Goto, Takahiko
Fujisaki, Natsuko
Minobe, Machiko
Kinowaki, Mayumi
Matsuki, Shigeru
author_facet Ogiso, Kazuma
Koriyama, Nobuyuki
Akao, Ayako
Otsuji, Mayumi
Goto, Takahiko
Fujisaki, Natsuko
Minobe, Machiko
Kinowaki, Mayumi
Matsuki, Shigeru
author_sort Ogiso, Kazuma
collection PubMed
description We herein describe the case of a 29-year-old woman with type 1 diabetes from 10 years of age who developed adult cyclic vomiting syndrome. Beginning at 25 years of age, she was frequently hospitalized for stress-induced vomiting. Her vomiting episodes developed acutely and remitted after severe vomiting of more than 30 times a day for a few days. The vomiting periods were accompanied by leukocytosis with a predominance of neutrophils, high blood pressure and fever. In addition, it was noted that her levels of both adrenocorticotropic hormone and antidiuretic hormone during the vomiting attacks increased and subsequently dramatically decreased immediately after symptom improvement; therefore, she was diagnosed with adult-type cyclic vomiting syndrome in accordance with the diagnostic criteria of Rome III, a system developed to classify functional gastrointestinal disorders. Though glycemic control had improved with continuous subcutaneous insulin infusion therapy, the vomiting frequency increased due to the failure of drug treatments and general psychotherapy to terminate the vomiting attacks, making discharge difficult and greatly interfering with everyday life. Eventually, hypnotherapy and miniature garden therapy were prescribed, which significantly reduced the vomiting frequency, making it possible to discharge her from inpatient medical care. In the treatment of this patient with type 1 diabetes and adult-type cyclic vomiting syndrome, continuous subcutaneous insulin infusion therapy and comprehensive psychotherapy were effective.
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spelling pubmed-45803142015-09-24 Type 1 diabetes complicated with uncontrollable adult cyclic vomiting syndrome: a case report Ogiso, Kazuma Koriyama, Nobuyuki Akao, Ayako Otsuji, Mayumi Goto, Takahiko Fujisaki, Natsuko Minobe, Machiko Kinowaki, Mayumi Matsuki, Shigeru J Diabetes Metab Disord Case Report We herein describe the case of a 29-year-old woman with type 1 diabetes from 10 years of age who developed adult cyclic vomiting syndrome. Beginning at 25 years of age, she was frequently hospitalized for stress-induced vomiting. Her vomiting episodes developed acutely and remitted after severe vomiting of more than 30 times a day for a few days. The vomiting periods were accompanied by leukocytosis with a predominance of neutrophils, high blood pressure and fever. In addition, it was noted that her levels of both adrenocorticotropic hormone and antidiuretic hormone during the vomiting attacks increased and subsequently dramatically decreased immediately after symptom improvement; therefore, she was diagnosed with adult-type cyclic vomiting syndrome in accordance with the diagnostic criteria of Rome III, a system developed to classify functional gastrointestinal disorders. Though glycemic control had improved with continuous subcutaneous insulin infusion therapy, the vomiting frequency increased due to the failure of drug treatments and general psychotherapy to terminate the vomiting attacks, making discharge difficult and greatly interfering with everyday life. Eventually, hypnotherapy and miniature garden therapy were prescribed, which significantly reduced the vomiting frequency, making it possible to discharge her from inpatient medical care. In the treatment of this patient with type 1 diabetes and adult-type cyclic vomiting syndrome, continuous subcutaneous insulin infusion therapy and comprehensive psychotherapy were effective. BioMed Central 2015-09-23 /pmc/articles/PMC4580314/ /pubmed/26401489 http://dx.doi.org/10.1186/s40200-015-0206-6 Text en © Ogiso et al. 2015 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Ogiso, Kazuma
Koriyama, Nobuyuki
Akao, Ayako
Otsuji, Mayumi
Goto, Takahiko
Fujisaki, Natsuko
Minobe, Machiko
Kinowaki, Mayumi
Matsuki, Shigeru
Type 1 diabetes complicated with uncontrollable adult cyclic vomiting syndrome: a case report
title Type 1 diabetes complicated with uncontrollable adult cyclic vomiting syndrome: a case report
title_full Type 1 diabetes complicated with uncontrollable adult cyclic vomiting syndrome: a case report
title_fullStr Type 1 diabetes complicated with uncontrollable adult cyclic vomiting syndrome: a case report
title_full_unstemmed Type 1 diabetes complicated with uncontrollable adult cyclic vomiting syndrome: a case report
title_short Type 1 diabetes complicated with uncontrollable adult cyclic vomiting syndrome: a case report
title_sort type 1 diabetes complicated with uncontrollable adult cyclic vomiting syndrome: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4580314/
https://www.ncbi.nlm.nih.gov/pubmed/26401489
http://dx.doi.org/10.1186/s40200-015-0206-6
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