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Hyperosmolar non-ketotic diabetic coma and rhabdomyolysis.
  1. D. Trump,
  2. S. O'Hanlon,
  3. M. Rinsler,
  4. P. Sharp
  1. Northwick Park Hospital, Harrow, UK.


    Rhabdomyolysis is a rare but potentially fatal complication of hyperosmolar states. We report a case of severe hyperosmolar non-ketotic diabetic coma causing rhabdomyolysis in a young man. Despite very high levels of creatine kinase there was no detectable myoglobinuria. Creatine kinase estimation should be a standard investigation in all patients presenting with a hyperosmolar state.

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