KETOACIDOSIS AS THE PRIMARY MANIFESTATION OF ACROMEGALY

Although diabetes mellitus is common in acromegaly, diabetic ketoacidosis (DKA) is rarely reported in this disease. Herein, we reported on a 41-year-old man with acromegaly whose first presentation was DKA. After treatment of acromegaly, his diabetes subsided. We concluded that, even in nondiabetic individuals, a high level of growth hormone can rarely cause DKA.