" /> Diabetes mellitus, ketosis-prone - CISMeF





Preferred Label : Diabetes mellitus, ketosis-prone;

Symbol : KPD;

CISMeF acronym : KPD;

Type : Phenotype, molecular basis known;

Description : In addition to classic type 1 (see 222100) and type 2 (see 125853) diabetes mellitus, atypical presentations are seen, particularly in populations of African ancestry. Ketosis-prone diabetes, the most common atypical form, is characterized by an acute initial presentation with severe hyperglycemia and ketosis, as seen in classic type 1 diabetes, but after initiation of insulin therapy, prolonged remission is often possible with cessation of insulin therapy and maintenance of appropriate metabolic control. Metabolic studies show a markedly blunted insulin secretory response to glucose, partially reversible with the improvement of blood glucose control. Variable levels of insulin resistance are observed, especially in obese patients. Pancreatic beta-cell autoimmunity is a rare finding, and association with type 1 susceptibility HLA alleles is variable (Sobngwi et al., 2002).;

Inheritance : Autosomal recessive; Autosomal dominant (in 1 patient);

Molecular basis : Susceptibility conferred by mutation in the paired box gene 4 (PAX4, 167413.0022);

Prefixed ID : #612227;

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03/05/2025


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