A 13-year-old boy presents with polyuria, polydipsia, and nocturia over 2 months with 4-kg weight loss. Vital signs show BP 118/76 mmHg, HR 92 bpm, RR 18/min, temperature 37.2°C, and SpO2 98% on room air. Fasting glucose is 312 mg/dL with positive anti-glutamic acid decarboxylase antibodies. Urinalysis shows no ketones. He takes no chronic medications. Which of the following is the most likely diagnosis?
- A)Type 1 diabetes mellitusGABARITO
- B)Diabetes insipidus
- C)Cushing syndrome
- D)Maturity onset diabetes of the young
- E)Type 2 diabetes mellitus
Explicação
Type 1 diabetes mellitus is autoimmune destruction of pancreatic beta cells causing absolute insulin deficiency. Ver explicação completa e trilha adaptativa →