J Korean Diabetes Assoc.
2000 Feb;24(1):97-101.
An Autopsy Case of Diabetes Mellitus with Extensive Atherosclerotic Complication
- Affiliations
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- 1Department of Pathology, Seoul National University College of Medicine, Seoul, Korea.
Abstract
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BACKGROUND: A variety of circulatory abnormalities including atherosclerosis is a major complication of diabetes mellitus. In contrast to Western countries, incidence of extensive atherosclerotic complication is thought to be very low in Korean diabetic patients.
METHODS
Recently, we have experienced an autopsy case of 66-year-old male with type 2 diabetes mellitus having severe atherosclerosis in major arteriss.
RESULTS
Autopsy examination revealed severe ulcerative atherosclerosis in aorta and atheromatous embolization in numerous small and medium sized arteries of lung, kidney, liver, and intestine. Multiple old infarcts were noticed in myocardium and brain. In addition, severe diabetic nephropathy and pyelonephritis were also observed in kidneys.
CONCLUSION
The cause of death in this case is assumed to be myocaridial infarction associated with obstruction of coronary arteries. This case suggests that incidence of extensive atherosclerosis in Korean diabetic patients may not be rare, if autopsy examination are performed more thoroughly on these patients.