DKA with Severe Hypertriglyceridemia and Cerebral Edema in an Adolescent Boy: A Case Study and Review of the Literature
Joint Authors
Saengkaew, Tansit
Sahakitrungruang, Taninee
Supornsilchai, Vichit
Wacharasindhu, S.
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-01-20
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
A 13-year-old adolescent boy with type 1 diabetes mellitus (1b) presented with diabetic ketoacidosis (DKA) and cerebral edema.
Grossly lipemic serum and lipemia retinals due to extremely high triglyceride (TG) level were observed without evidence of xanthoma or xanthelasma.
Cerebral edema was treated by appropriate ventilation and mannitol administration.
Normal saline was carefully given and regular insulin was titrated according to blood sugar levels.
Triglyceride levels were reduced from 9,800 mg/dL to normal range within 9 days after conventional treatment was commenced without antilipid medication.
Based on our review of the literature, this is the first reported case of confirmed pediatric DKA with severe hypertriglyceridemia and cerebral edema.
In patients with DKA and hypertriglyceridemia, clinicians should be mindful of the possibility of associated acute pancreatitis and cerebral edema.
American Psychological Association (APA)
Saengkaew, Tansit& Sahakitrungruang, Taninee& Wacharasindhu, S.& Supornsilchai, Vichit. 2016. DKA with Severe Hypertriglyceridemia and Cerebral Edema in an Adolescent Boy: A Case Study and Review of the Literature. Case Reports in Endocrinology،Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1100703
Modern Language Association (MLA)
Saengkaew, Tansit…[et al.]. DKA with Severe Hypertriglyceridemia and Cerebral Edema in an Adolescent Boy: A Case Study and Review of the Literature. Case Reports in Endocrinology No. 2016 (2016), pp.1-4.
https://search.emarefa.net/detail/BIM-1100703
American Medical Association (AMA)
Saengkaew, Tansit& Sahakitrungruang, Taninee& Wacharasindhu, S.& Supornsilchai, Vichit. DKA with Severe Hypertriglyceridemia and Cerebral Edema in an Adolescent Boy: A Case Study and Review of the Literature. Case Reports in Endocrinology. 2016. Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1100703
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1100703