{"id":"https://openalex.org/W2150133488","doi":"https://doi.org/10.2337/diacare.26.8.2345","title":"Fulminant Type 1 Diabetes","display_name":"Fulminant Type 1 Diabetes","publication_year":2003,"publication_date":"2003-08-01","ids":{"openalex":"https://openalex.org/W2150133488","doi":"https://doi.org/10.2337/diacare.26.8.2345","mag":"2150133488","pmid":"https://pubmed.ncbi.nlm.nih.gov/12882860"},"language":"en","primary_location":{"id":"doi:10.2337/diacare.26.8.2345","doi":"https://doi.org/10.2337/diacare.26.8.2345","is_oa":false,"landing_page_url":"https://doi.org/10.2337/diacare.26.8.2345","pdf_url":null,"source":{"id":"https://openalex.org/S49878492","display_name":"Diabetes Care","issn_l":"0149-5992","issn":["0149-5992","1935-5548"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320274","host_organization_name":"American Diabetes Association","host_organization_lineage":["https://openalex.org/P4310320274"],"host_organization_lineage_names":["American Diabetes Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Diabetes Care","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5013468065","display_name":"Akihisa Imagawa","orcid":"https://orcid.org/0000-0002-4213-3229","observed_orcids":["https://orcid.org/0000-0002-4213-3229"]},"institutions":[{"id":"https://openalex.org/I98285908","display_name":"The University of Osaka","ror":"https://ror.org/035t8zc32","country_code":"JP","type":"education","lineage":["https://openalex.org/I98285908"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Akihisa Imagawa","raw_affiliation_strings":["Department of Internal Medicine and Molecular Science, Graduate School of Medicine, Osaka University, Suita, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Internal Medicine and Molecular Science, Graduate School of Medicine, Osaka University, Suita, Japan","institution_ids":["https://openalex.org/I98285908"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5074510658","display_name":"Toshiaki Hanafusa","orcid":"https://orcid.org/0000-0001-7482-6823","observed_orcids":["https://orcid.org/0000-0001-7482-6823"]},"institutions":[{"id":"https://openalex.org/I205143321","display_name":"Osaka Medical and Pharmaceutical University","ror":"https://ror.org/01y2kdt21","country_code":"JP","type":"education","lineage":["https://openalex.org/I205143321"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Toshiaki Hanafusa","raw_affiliation_strings":["First Department of Internal Medicine, Osaka Medical College, Takatsuki, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"First Department of Internal Medicine, Osaka Medical College, Takatsuki, Japan","institution_ids":["https://openalex.org/I205143321"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5040965633","display_name":"Yasuko Uchigata","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210136522","display_name":"Tokyo Women's Medical University","ror":"https://ror.org/03kjjhe36","country_code":"JP","type":"education","lineage":["https://openalex.org/I4210136522"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Yasuko Uchigata","raw_affiliation_strings":["Diabetes Center, Tokyo Women\u2019s Medical University School of Medicine, Tokyo, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Diabetes Center, Tokyo Women\u2019s Medical University School of Medicine, Tokyo, Japan","institution_ids":["https://openalex.org/I4210136522"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5084052847","display_name":"Azuma Kanatsuka","orcid":"https://orcid.org/0000-0002-6363-7282","observed_orcids":["https://orcid.org/0000-0002-6363-7282"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Azuma Kanatsuka","raw_affiliation_strings":["Diabetes Center, Kasori Hospital, Chiba, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Diabetes Center, Kasori Hospital, Chiba, Japan","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5055859504","display_name":"Eiji Kawasaki","orcid":"https://orcid.org/0000-0001-7434-4744","observed_orcids":["https://orcid.org/0000-0001-7434-4744","https://orcid.org/0009-0009-8264-1154"]},"institutions":[{"id":"https://openalex.org/I43777268","display_name":"Nagasaki University","ror":"https://ror.org/058h74p94","country_code":"JP","type":"education","lineage":["https://openalex.org/I43777268"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Eiji Kawasaki","raw_affiliation_strings":["Unit of Metabolism/Diabetes and Clinical Nutrition, Nagasaki University School of Medicine, Nagasaki, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Unit of Metabolism/Diabetes and Clinical Nutrition, Nagasaki University School of Medicine, Nagasaki, Japan","institution_ids":["https://openalex.org/I43777268"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5066834130","display_name":"Tetsuro Kobayashi","orcid":"https://orcid.org/0000-0002-4364-2527","observed_orcids":["https://orcid.org/0000-0002-4364-2527"]},"institutions":[{"id":"https://openalex.org/I66906201","display_name":"University of Yamanashi","ror":"https://ror.org/059x21724","country_code":"JP","type":"education","lineage":["https://openalex.org/I66906201"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Tetsuro Kobayashi","raw_affiliation_strings":["Third Department of Internal Medicine, University of Yamanashi School of Medicine, Nakakoma, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Third Department of Internal Medicine, University of Yamanashi School of Medicine, Nakakoma, Japan","institution_ids":["https://openalex.org/I66906201"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5059378687","display_name":"Akira Shimada","orcid":"https://orcid.org/0000-0002-3954-4983","observed_orcids":["https://orcid.org/0000-0002-3954-4983"]},"institutions":[{"id":"https://openalex.org/I203951103","display_name":"Keio University","ror":"https://ror.org/02kn6nx58","country_code":"JP","type":"education","lineage":["https://openalex.org/I203951103"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Akira Shimada","raw_affiliation_strings":["Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan","institution_ids":["https://openalex.org/I203951103"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5065462758","display_name":"Ikki Shimizu","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210145364","display_name":"Ehime Prefectural Central Hospital","ror":"https://ror.org/03c648b36","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210145364"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Ikki Shimizu","raw_affiliation_strings":["Ehime Prefectural Central Hospital, Internal Medicine, Matsuyama, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ehime Prefectural Central Hospital, Internal Medicine, Matsuyama, Japan","institution_ids":["https://openalex.org/I4210145364"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5078428570","display_name":"Tetsuya Toyoda","orcid":"https://orcid.org/0000-0001-6309-3679","observed_orcids":["https://orcid.org/0000-0001-6309-3679"]},"institutions":[{"id":"https://openalex.org/I105296287","display_name":"Kurume University","ror":"https://ror.org/057xtrt18","country_code":"JP","type":"education","lineage":["https://openalex.org/I105296287"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Tetsuya Toyoda","raw_affiliation_strings":["Department of Virology, Kurume University School of Medicine, Kurume, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Virology, Kurume University School of Medicine, Kurume, Japan","institution_ids":["https://openalex.org/I105296287"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Taro Maruyama","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210158720","display_name":"Social Insurance Saitama Chuo Hospital","ror":"https://ror.org/04vqzd428","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210132540","https://openalex.org/I4210158720"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Taro Maruyama","raw_affiliation_strings":["Department of Internal Medicine, Saitama Social Insurance Hospital, Urawa, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Internal Medicine, Saitama Social Insurance Hospital, Urawa, Japan","institution_ids":["https://openalex.org/I4210158720"]}]},{"author_position":"last","author":{"id":null,"display_name":"Hideichi Makino","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210110672","display_name":"Ehime University Hospital","ror":"https://ror.org/01vpa9c32","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210110672","https://openalex.org/I43545212"]},{"id":"https://openalex.org/I43545212","display_name":"Ehime University","ror":"https://ror.org/017hkng22","country_code":"JP","type":"education","lineage":["https://openalex.org/I43545212"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Hideichi Makino","raw_affiliation_strings":["Department of Laboratory Medicine, Ehime University School of Medicine, Ehime, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Laboratory Medicine, Ehime University School of Medicine, Ehime, Japan","institution_ids":["https://openalex.org/I4210110672","https://openalex.org/I43545212"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":11,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":5.0823,"has_fulltext":false,"cited_by_count":295,"citation_normalized_percentile":{"value":0.96505831,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":97,"max":100},"biblio":{"volume":"26","issue":"8","first_page":"2345","last_page":"2352"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11171","display_name":"Diabetes and associated disorders","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/1311","display_name":"Genetics"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},"topics":[{"id":"https://openalex.org/T11171","display_name":"Diabetes and associated disorders","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/1311","display_name":"Genetics"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T10560","display_name":"Diabetes Management and Research","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12421","display_name":"Adrenal Hormones and Disorders","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/fulminant-type-1-diabetes","display_name":"fulminant type 1 diabetes","score":1.0},{"id":"https://openalex.org/keywords/islet-autoantibodies","display_name":"islet autoantibodies","score":0.9049999713897705},{"id":"https://openalex.org/keywords/gad-antibodies","display_name":"glutamic acid decarboxylase antibodies","score":0.9279999732971191},{"id":"https://openalex.org/keywords/flu-like-symptoms","display_name":"flu-like symptoms","score":0.7879999876022339},{"id":"https://openalex.org/keywords/autoimmune-type-1-diabetes","display_name":"autoimmune type 1 diabetes","score":0.8339999914169312},{"id":"https://openalex.org/keywords/disease-onset","display_name":"disease onset","score":0.4830000102519989},{"id":"https://openalex.org/keywords/japan","display_name":"Japan","score":0.4339999854564667}],"concepts":[{"id":"https://openalex.org/C2781107259","wikidata":"https://www.wikidata.org/wiki/Q5508364","display_name":"Fulminant","level":2,"score":0.9551630020141602},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9152864813804626},{"id":"https://openalex.org/C2781232474","wikidata":"https://www.wikidata.org/wiki/Q124407","display_name":"Type 1 diabetes","level":3,"score":0.7026994228363037},{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.6577649116516113},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.5604380369186401},{"id":"https://openalex.org/C2777180221","wikidata":"https://www.wikidata.org/wiki/Q3025883","display_name":"Type 2 diabetes","level":3,"score":0.5092798471450806},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.48510921001434326},{"id":"https://openalex.org/C163764329","wikidata":"https://www.wikidata.org/wiki/Q785022","display_name":"Autoantibody","level":3,"score":0.4558781683444977},{"id":"https://openalex.org/C90924648","wikidata":"https://www.wikidata.org/wiki/Q120569","display_name":"Gastroenterology","level":1,"score":0.3601246476173401},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.34428325295448303},{"id":"https://openalex.org/C203014093","wikidata":"https://www.wikidata.org/wiki/Q101929","display_name":"Immunology","level":1,"score":0.3420200049877167},{"id":"https://openalex.org/C159654299","wikidata":"https://www.wikidata.org/wiki/Q79460","display_name":"Antibody","level":2,"score":0.3153075873851776},{"id":"https://openalex.org/C134018914","wikidata":"https://www.wikidata.org/wiki/Q162606","display_name":"Endocrinology","level":1,"score":0.2618059813976288},{"id":"https://openalex.org/C120665830","wikidata":"https://www.wikidata.org/wiki/Q14620","display_name":"Optics","level":1,"score":0.0},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001323","descriptor_name":"Autoantibodies","qualifier_ui":"Q000097","qualifier_name":"blood","is_major_topic":true},{"descriptor_ui":"D002648","descriptor_name":"Child","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003625","descriptor_name":"Data Collection","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003922","descriptor_name":"Diabetes Mellitus, Type 1","qualifier_ui":"Q000145","qualifier_name":"classification","is_major_topic":true},{"descriptor_ui":"D003922","descriptor_name":"Diabetes Mellitus, Type 1","qualifier_ui":"Q000276","qualifier_name":"immunology","is_major_topic":true},{"descriptor_ui":"D003922","descriptor_name":"Diabetes Mellitus, Type 1","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006943","descriptor_name":"Hyperglycemia","qualifier_ui":"Q000276","qualifier_name":"immunology","is_major_topic":false},{"descriptor_ui":"D006943","descriptor_name":"Hyperglycemia","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D007564","descriptor_name":"Japan","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011247","descriptor_name":"Pregnancy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011379","descriptor_name":"Prognosis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012621","descriptor_name":"Seasons","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012720","descriptor_name":"Severity of Illness Index","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015994","descriptor_name":"Incidence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016883","descriptor_name":"Diabetic Ketoacidosis","qualifier_ui":"Q000276","qualifier_name":"immunology","is_major_topic":false},{"descriptor_ui":"D016883","descriptor_name":"Diabetic Ketoacidosis","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.2337/diacare.26.8.2345","doi":"https://doi.org/10.2337/diacare.26.8.2345","is_oa":false,"landing_page_url":"https://doi.org/10.2337/diacare.26.8.2345","pdf_url":null,"source":{"id":"https://openalex.org/S49878492","display_name":"Diabetes Care","issn_l":"0149-5992","issn":["0149-5992","1935-5548"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320274","host_organization_name":"American Diabetes Association","host_organization_lineage":["https://openalex.org/P4310320274"],"host_organization_lineage_names":["American Diabetes Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Diabetes Care","raw_type":"journal-article"},{"id":"pmid:12882860","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/12882860","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Diabetes care","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.9940000176429749,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":23,"referenced_works":["https://openalex.org/W1978391521","https://openalex.org/W1984280896","https://openalex.org/W1996044268","https://openalex.org/W2017230604","https://openalex.org/W2019972832","https://openalex.org/W2039408022","https://openalex.org/W2047357582","https://openalex.org/W2050473688","https://openalex.org/W2055056161","https://openalex.org/W2104258246","https://openalex.org/W2114817655","https://openalex.org/W2119654658","https://openalex.org/W2134274812","https://openalex.org/W2134293572","https://openalex.org/W2144788187","https://openalex.org/W2156585029","https://openalex.org/W2166593175","https://openalex.org/W2319062589","https://openalex.org/W2326904657","https://openalex.org/W2334036504","https://openalex.org/W2406398038","https://openalex.org/W3028109119","https://openalex.org/W4233562854"],"related_works":["https://openalex.org/W2055019632","https://openalex.org/W1971252213","https://openalex.org/W2120180534","https://openalex.org/W2003556433","https://openalex.org/W2115661604","https://openalex.org/W7160227131","https://openalex.org/W12297755","https://openalex.org/W3032017763","https://openalex.org/W2093494472","https://openalex.org/W2153693926"],"abstract_inverted_index":{"OBJECTIVE:":[0],"To":[1],"describe":[2],"the":[3,73,151,168,172,179,212],"clinical":[4],"and":[5,30,43,96,107,135,141,161,188,206],"immunologic":[6],"characteristics":[7],"of":[8,16,72,126,211,224],"fulminant":[9,42,58,82,106,116,128,169,180],"type":[10,17,45,59,83,93,99,129,199,214,238],"1":[11,18,46,60,84,94,100,130,200,215,239],"diabetes,":[12,19,85,95],"a":[13,22,124,203],"novel":[14],"subtype":[15,205,234],"we":[20],"conducted":[21],"nationwide":[23],"survey.":[24],"RESEARCH":[25],"DESIGN":[26],"AND":[27],"METHODS:":[28],"History":[29],"laboratory":[31],"data,":[32],"including":[33],"islet-related":[34],"autoantibodies,":[35],"were":[36,79,88,98,104,121,163,183,190],"examined":[37],"in":[38,48,51,66,167,171,218,232,236],"222":[39,74],"patients":[40,56,75,117],"with":[41,57,81],"nonfulminant":[44],"diabetes":[47,61,201,216],"our":[49,64,70,119],"hospitals":[50,65,120],"addition":[52],"to":[53],"another":[54],"118":[55,115],"located":[62],"outside":[63,118],"Japan.":[67,148,219],"RESULTS:":[68],"In":[69,178],"hospitals,":[71],"studied,":[76],"43":[77],"(19.4%)":[78],"diagnosed":[80],"137":[86],"(61.7%)":[87],"classified":[89],"as":[90],"having":[91],"autoimmune":[92,173,237],"42":[97],"diabetic":[101,131],"subjects":[102,132],"who":[103],"not":[105,109],"did":[108],"have":[110],"anti-islet":[111,193],"antibodies.":[112,196],"An":[113],"additional":[114],"enrolled,":[122],"making":[123],"total":[125],"161":[127],"(83":[133],"male":[134],"78":[136],"female":[137],"subjects;":[138],"14":[139],"children/adolescents":[140],"147":[142],"adults)":[143],"identified":[144],"from":[145],"all":[146],"over":[147],"(In":[149],"2000,":[150],"average":[152],"incidence":[153],"was":[154],"three":[155],"cases":[156,217],"per":[157],"month.)":[158],"Flu-like":[159,220],"symptoms":[160,221],"pregnancy":[162],"more":[164,230],"frequently":[165],"observed":[166],"than":[170,235],"group":[174],"(P":[175],"<":[176],"0.001).":[177],"patients,":[181],"4.8%":[182],"positive":[184,191],"for":[185,192,208],"anti-GAD":[186],"antibodies":[187],"none":[189],"antigen":[194],"2":[195],"CONCLUSIONS:":[197],"Fulminant":[198],"is":[202,229],"distinct":[204],"accounts":[207],"approximately":[209],"20%":[210],"ketosis-onset":[213],"are":[222],"characteristic":[223],"disease":[225],"onset.":[226],"Metabolic":[227],"derangement":[228],"severe":[231],"this":[233],"diabetes.":[240]},"counts_by_year":[{"year":2026,"cited_by_count":8},{"year":2025,"cited_by_count":7},{"year":2024,"cited_by_count":12},{"year":2023,"cited_by_count":11},{"year":2022,"cited_by_count":7},{"year":2021,"cited_by_count":13},{"year":2020,"cited_by_count":16},{"year":2019,"cited_by_count":8},{"year":2018,"cited_by_count":15},{"year":2017,"cited_by_count":17},{"year":2016,"cited_by_count":15},{"year":2015,"cited_by_count":10},{"year":2014,"cited_by_count":5},{"year":2013,"cited_by_count":13},{"year":2012,"cited_by_count":19}],"updated_date":"2026-11-09T13:22:03.289127","created_date":"2016-06-24T00:00:00"}
