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CASE REPORT
Year : 2020  |  Volume : 45  |  Issue : 2  |  Page : 118-120

Dilemma in diagnosis of diabetes in a patient with chronic lymphocytic leukemia treated with cyclophosphamide − a paradoxical effect of immunosuppressive agent: a case report


1 Department of Haematology and Blood Transfusion, University of Calabar Teaching Hospital, Calabar, Nigeria
2 Department of Internal Medicine, University of Calabar Teaching Hospital, Calabar, Nigeria
3 Department of Pathology, University of Calabar Teaching Hospital, Calabar, Nigeria

Correspondence Address:
Akaba Kingsley
Department of Haematology and Blood Transfusion, University of Calabar, Teaching Hospital, Calabar, Cross River State. Zip Code: 540242, Calabar,
Nigeria
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ejh.ejh_64_19

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A case report of a 56-year-old female patient who was managed for chronic lymphocytic leukemia with intravenous cyclophosphamide regimen who suddenly developed hyperglycemic state with no previous/family history of diabetes or steroid is presented. Laboratory investigation showed glycated hemoglobin of 6.1% and normal electrolyte and liver function. Diagnosis of prediabetic state was made, and the patient was commenced with oral hypoglycemic agent (metformin). Since then, blood glucose has been normalized.


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