A case report of hyperosmolar hyperglycemic state in a 7-year-old child: An unusual presentation of first appearance of type 1 diabetes mellitus

Young Min Cho, Byung Sung Park, Min Jae Kang, Yoshifumi Saisho

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Rationale:A hyperosmolar hyperglycemic state (HHS) is a rare presentation of a hyperglycemic crisis in children with diabetes mellitus. As this condition can be fatal and has high morbidity, early recognition and proper management are necessary for a better outcome. Here, we report a rare case of HHS as the first presentation of type 1 diabetes mellitus (T1DM) in a 7-year-old girl.Patient concerns:The patient was admitted due to polyuria and weight loss in the past few days. The initial blood glucose level was 1167mg/dL.Diagnoses:On the basis of clinical manifestations and laboratory results, she was diagnosed with T1DM and HHS.Interventions:Treatment was started with intravenous fluid and regular insulin.Outcomes:She was discharged without any complications related to HHS and is being followed up in the outpatient clinic with split insulin therapy.Lessons:As the incidence of T1DM is increasing, emergency physicians and pediatricians should be aware of HHS to make an early diagnosis for appropriate management, as it can be complicated in young children with T1DM.

Original languageEnglish
Article numbere7369
JournalMedicine (United States)
Volume96
Issue number25
DOIs
Publication statusPublished - 2017 Jun 1

Keywords

  • Child
  • Diabetes mellitus type 1
  • Hyperglycemic hyperosmolar nonketotic coma

ASJC Scopus subject areas

  • Medicine(all)

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