Publications by authors named "Runbo Song"
Introduction And Importance: hypercalcemia of malignancy is a severe complication of malignancy and associated with poor prognosis. Four mechanisms are implicated in this metabolic disorder, including excess parathyroid-related peptide secretion, focal osteolysis secondary to bone metastasis or multiple myeloma, excess calcitriol production, and ectopic parathyroid hormone production. Humoral hypercalcemia of malignancy secondary to isolated PTHrP or calcitriol overproduction is known; however, hypercalcemia of malignancy due to simultaneous PTHrP and calcitriol overproduction is less well known.
View Article and Find Full Text PDFIntroduction: Diabetic crises occur most often in patients with type 1 diabetes and occasionally in type 2 diabetes, especially under stressful conditions. However, a diabetic crisis occurring directly from prediabetes is an unusual phenomenon.
Case Report: A 45-year-old woman presented with postprandial left upper quadrant abdominal pain, nausea, and vomiting.
Article Synopsis
- A patient who underwent laparoscopic sleeve gastrectomy experienced poor oral tolerance and was misdiagnosed with diabetic ketoacidosis, leading to ineffective treatment with volume supplementation.
- The actual issue was identified as starvation ketoacidosis, which improved rapidly after administering glucose.
- This case emphasizes the importance of accurately diagnosing and managing starvation ketoacidosis after bariatric surgery, and the need for careful interpretation of elevated lipase levels without signs of pancreatitis.