{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T13:30:36Z","timestamp":1791379836460,"version":"4.3.3"},"reference-count":10,"publisher":"The Korean Academy of Family Medicine - M2PI","issue":"1","license":[{"start":{"date-parts":[[2024,1,20]],"date-time":"2024-01-20T00:00:00Z","timestamp":1705708800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["kjfm.or.kr"],"crossmark-restriction":true},"short-container-title":["Korean J Fam Med"],"published-print":{"date-parts":[[2024,1,20]]},"abstract":"<jats:p>The simultaneous development of diabetic ketoacidosis (DKA) and thyroid storm (TS) is a rare but potentially lifethreatening condition that requires immediate and targeted treatment. However, their combined diagnosis poses a serious challenge because of the similarities between their clinical manifestations. To date, only a few dozen cases have been described; most of which have been linked to the progression of thyrotoxicosis or uncontrolled hyperglycemia as contributing factors. We present the case of a 37-year-old woman with type 1 diabetes mellitus and Graves\u2019 disease who presented with both TS and DKA. She was initially admitted to the emergency department as a suspected case of stroke. Severe hypoglycemia significantly lowered her alertness to TS and probably provoked a sharp hyperthyroid decompensation, thereby leading to subsequent DKA development.<\/jats:p>","DOI":"10.4082\/kjfm.23.0230","type":"journal-article","created":{"date-parts":[[2024,1,22]],"date-time":"2024-01-22T02:41:24Z","timestamp":1705891284000},"page":"51-55","update-policy":"https:\/\/doi.org\/10.4082\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Case of Acute Neurologic Deficit and Hypoglycemia in the Setting of Thyroid Storm and Diabetic Ketoacidosis: A New Clinical Scenario"],"prefix":"10.4082","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8391-9802","authenticated-orcid":true,"given":"Alena","family":"Aleksashina","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3329-7846","authenticated-orcid":true,"given":"Svetlana","family":"Rachina","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8882-6143","authenticated-orcid":true,"given":"Gayrat","family":"Kiyakbaev","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0317-9547","authenticated-orcid":true,"given":"Girindu","family":"Hewathanthirige","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4900-2926","authenticated-orcid":true,"given":"Yulia","family":"Cherdantseva","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2550","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1210\/er.2008-0015"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.2337\/dc09-9032"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1507\/endocrj.ej16-0336"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1186\/s12902-019-0374-3"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.3389\/fendo.2022.834505"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.4158\/ep.15.3.254"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1155\/2012\/168565"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.4158\/accr-2017-0158"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/s0889-8529(18)30165-8"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.3389\/fendo.2018.00474"}],"container-title":["Korean Journal of Family Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/kjfm.or.kr\/upload\/pdf\/kjfm-23-0230.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/kjfm.or.kr\/journal\/view.php?doi=10.4082\/kjfm.23.0230","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/kjfm.or.kr\/upload\/pdf\/kjfm-23-0230.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,25]],"date-time":"2024-01-25T19:09:24Z","timestamp":1706209764000},"score":1,"resource":{"primary":{"URL":"http:\/\/kjfm.or.kr\/journal\/view.php?doi=10.4082\/kjfm.23.0230"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,20]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,1]]}},"URL":"https:\/\/doi.org\/10.4082\/kjfm.23.0230","relation":{},"ISSN":["2092-6715"],"issn-type":[{"value":"2092-6715","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1,20]]},"assertion":[{"value":"2023-10-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-10-31","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-01-20","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-01-20","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}