RT Journal
T1 TRauma and diabetes
JF Journal of the American Medical Association
JO Journal of the American Medical Association
YR 1939
FD April 22
VO 112
IS 16
SP 1592
OP 1594
DO 10.1001/jama.1939.02800160056014
UL http://dx.doi.org/10.1001/jama.1939.02800160056014
AB The concept of traumatic diabetes virtually began with Claude Bernard's diabetic puncture. In the earlier literature, which is fairly extensive, appears a report by Asher, who assembled 124 cases and concluded that one was not justified in establishing a causal connection between trauma and diabetes by pathologic changes and physiologic results. Traumatic neurosis was introduced by Ebstein in 1892. A traumatic origin of diabetes was recognized by von Noorden in 1898. In general, authors considered that traumatic diabetes actually existed and that it was a neurogenic diabetes due to trauma in the central nervous system.Somewhat later Stern felt that clinical observations gave rise to doubts because of the possibility that diabetes was present before the trauma and because the diabetes following trauma is indistinguishable from the diabetes occurring otherwise. Lépine thought that trauma must be considered in 5 per cent of cases of diabetes although noting too the question