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- Mai Sue-Nagumo, Shunichi Matsumoto, Eijiro Yamada, Yasuyo Nakajima, Satoshi Yoshino, Kazuhiko Horiguchi, Emi Ishida, Shuichi Okada, and Masanobu Yamada.
- Department of Medicine and Molecular Science, Gunma University Graduate School of Medicine, Japan.
- Intern. Med. 2022 May 15; 61 (10): 1555-1560.
AbstractA 35-year-old man experienced general fatigue and could not eat solid food because of nausea and vomiting. His weight abruptly decreased from 49 to 45 kg after 2 weeks. A detailed examination indicated superior mesenteric artery syndrome (SMAS) accompanied by acute-onset type 1 diabetes complicated by Graves' disease, referred to as autoimmune polyglandular syndrome type 3A (APS3A). Although SMAS has a good prognosis, some cases require emergency surgery, especially when complicated by gastric perforation. In our case, APS3A and SMAS developed rapidly and at approximately the same time, resulting in a cycle of mutual exacerbation.
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