The Syndrome of Dehydration, Coma and Severe Hyperglycemia without Ketosis in Patients Convalescing from Burns

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Abstract
IN 1951 Evans and Butterfield1 first reported a syndrome of glycosuria, dehydration, coma and severe hyperglycemia without ketosis occurring during the recovery phase of patients with major burns. Nine years later Arney, Pearson and Sutherland2 described 2 more burned patients in whom an almost identical syndrome occurred. Bailey3 presented an additional case in 1960. In only 1 of these patients was there a history of diabetes, and in all survivors carbohydrate metabolism reverted to normal after the episode. To our knowledge, these reports represent the only adequately documented cases of this syndrome in the literature.We have had an opportunity . . .