Diabetisk ketoacidose og svær hypertriglyceridæmi hos et barn

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Abstract

Diabetic ketoacidosis (DKA) in children with severe hypertriglyceridaemia (S-HTG) is infrequent. This case report presents a seven-year-old girl without a family history of dyslipidaemia with moderate DKA, lipaemic plasma, retinal lipaemia, and P-triglyceride 185 mmol/l. The course was uneventful on standard treatment and lipids normalized. She had abdominal pain but no biochemical or ultrasound evidence of pancreatitis. S-HTG affected laboratory analysis; CO2 could not be analyzed, and there was haemolysis and uncertain electrolyte results with P-Na+ 125 mmol/l, i.e. pseudo hyponatraemia, despite ultracentrifugation.

Bidragets oversatte titelDiabetic ketoacidosis and severe hypertriglyceridaemia in a child
OriginalsprogDansk
ArtikelnummerV12220761
TidsskriftUgeskrift for Læger
Vol/bind185
ISSN0041-5782
StatusUdgivet - 25 sep. 2023

Bibliografisk note

Published under Open Access CC-BY-NC-ND 4.0. https://creativecommons.org/licenses/by-nc-nd/4.0/.

Emneord

  • Female
  • Humans
  • Child
  • Diabetic Ketoacidosis/diagnosis
  • Hyperlipidemias/complications
  • Hypertriglyceridemia/complications
  • Pancreatitis/diagnostic imaging
  • Triglycerides
  • Diabetes Mellitus

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