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? IóD
Miller,5.E.Petal:Cliniealfeatures
ofthediabetiesynd:omeappearingafter
steroidtherapy.PostgradMedJ40:66D,
1964
Alavi,I,A.etal:SteroidBindlleeddia-
betieketo-eidosis.AnlJMedSei262:15,
1971
Woods,JE.etal:HyPerosóolarnonket-
otiesyndromeandsteroiddiabetes.JAMA
231:1261,19 5
As?more,J.:Theeffoetsglueoeortieoids
oninsulinaetion.Diabetes13:349,1964
Moreo,J.etal:HyPerglueagonismindu-
eedbyglueoeortieoidtreatmentinman.N
EnglJMed288:128,1973
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