Abstract
AbstractBackground:Severe hypertriglyceridemia (HTG) as well as diabetic ketoacidosis (DKA) are complications of type 1 diabetes (T1DM). HTG is an exceedingly rare complication in the pediatric population and herein we report a case of HTG at new-onset T1DM in DKA and discuss management and potential complications.Case presentation:An 11-year-old previously well patient with a history of fatigue and weight loss presented with: glucose >600 mg/dL, venous blood gas: pH 7.26, pCOConclusions:Lipemia secondary to severe HTG, though exceedingly rare, may exist in new onset T1DM with DKA. Complicating the diagnosis is the possibility of an analytical error from lipemia causing incongruence in diagnostic criteria. Clinicians should rely on clinical criteria for management and should consider HTG if laboratory data is inconsistent with the clinical picture.
Subject
Endocrinology,Endocrinology, Diabetes and Metabolism,Pediatrics, Perinatology and Child Health
Reference46 articles.
1. Diabetic ketoacidosis presenting with pseudonormoglycemia in a 15-year-old girl with type 1 diabetes mellitus;J Clin Res Pediatr Endocrinol,2013
2. Insulin therapy in patients with severe hypertriglyceridemia;Rev Med Inst Mex Seguro Soc,2006
3. A commentary on the effect of lipid emulsions on pathology tests;Anaesthesia,2009
4. Extreme diabetic lipaemia associated with a novel lipoprotein lipase gene mutation;Clinica chimi Acta,2009
5. Dka with severe hypertriglyceridemia and cerebral edema in an adolescent boy: a case study and review of the literature;Case Rep Endocrinol,2016
Cited by
11 articles.
订阅此论文施引文献
订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献