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;
Origin ID : 612227;
UMLS CUI : C3837958;
Automatic exact mappings (from CISMeF team)
CISMeF manual mappings
DO Cross reference
False automatic mappings
Genes related to phenotype
HPO term(s)
See also inter- (CISMeF)
Semantic type(s)
UMLS correspondences (same concept)