CY. Huang and WL. Chen (2015). Diabetic ketoacidosis as the initial presentation of hyperthyroidism. The American journal of emergency medicine, 33(10), 1540.e1-2. https://doi.org/10.1016/j.ajem.2015.07.065

PubMed 26321166

[Abstract]
Abdominal pain is a common chief complaint that encompasses a broad differential diagnosis at emergency department (ED), ranging from general discomfort to life-threatening disease. Abdominal pain induced by a metabolic disorder should also be considered. Diabetic ketoacidosis (DKA) is a common complication of new-onset type 1 diabetes mellitus in young patients. Although DKA that presented to the ED with complaint of abdominal pain is not uncommon, it is precipitated by hyperthyroidism, which is rare and more complicated. Herein, we present a case of a 20-year-old women who came to our ED with the chief complaint of abdominal pain, which was actually the result of DKA caused by hyperthyroidism without underlying disease.