Abstract
Glycated haemoglobin (HbA(1c)) level is used to monitor glycaemic control in diabetic patients, and has recently been included as a diagnostic factor for type 2 diabetes mellitus (DM). A 50-year-old male with well-controlled type 1 DM, Mb Addison and coeliac disease was diagnosed with dermatitis herpetiformis and treated with dapsone. Subsequently, the patient presented a pronounced drop in HbA(1c) levels without changes in blood glucose levels. S-fructosamine values were in agreement with the previous stable HbA(1c) values. Blood analyses showed inappropriately low HbA(1c) values due to mild haemolysis and shortening of erythrocyte lifetime without anaemia.
| Bidragets oversatte titel | Dapsone-induced decrease in the HbA(1c) level may cause artefacts in diabetic control |
|---|---|
| Originalsprog | Dansk |
| Tidsskrift | Ugeskrift for Læger |
| Vol/bind | 175 |
| Nummer | 8 |
| Sider (fra-til) | 505-6 |
| Antal sider | 2 |
| ISSN | 0041-5782 |
| Status | Udgivet - 18 feb. 2013 |
Emneord
- Anti-Infective Agents
- Dapsone
- Dermatitis Herpetiformis
- Diabetes Mellitus, Type 1
- Hemoglobin A, Glycosylated
- Hemolysis
- Humans
- Male
- Middle Aged