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 language | English |
|---|---|
| Article number | e7369 |
| Journal | Medicine (United States) |
| Volume | 96 |
| Issue number | 25 |
| DOIs | |
| Publication status | Published - 2017 Jun 1 |
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Keywords
- Child
- Diabetes mellitus type 1
- Hyperglycemic hyperosmolar nonketotic coma
ASJC Scopus subject areas
- Medicine(all)
Cite this
A case report of hyperosmolar hyperglycemic state in a 7-year-old child : An unusual presentation of first appearance of type 1 diabetes mellitus. / Cho, Young Min; Park, Byung Sung; Kang, Min Jae; Saisho, Yoshifumi.
In: Medicine (United States), Vol. 96, No. 25, e7369, 01.06.2017.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - A case report of hyperosmolar hyperglycemic state in a 7-year-old child
T2 - An unusual presentation of first appearance of type 1 diabetes mellitus
AU - Cho, Young Min
AU - Park, Byung Sung
AU - Kang, Min Jae
AU - Saisho, Yoshifumi
PY - 2017/6/1
Y1 - 2017/6/1
N2 - 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.
AB - 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.
KW - Child
KW - Diabetes mellitus type 1
KW - Hyperglycemic hyperosmolar nonketotic coma
UR - http://www.scopus.com/inward/record.url?scp=85021708679&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85021708679&partnerID=8YFLogxK
U2 - 10.1097/MD.0000000000007369
DO - 10.1097/MD.0000000000007369
M3 - Article
C2 - 28640151
AN - SCOPUS:85021708679
VL - 96
JO - Medicine; analytical reviews of general medicine, neurology, psychiatry, dermatology, and pediatries
JF - Medicine; analytical reviews of general medicine, neurology, psychiatry, dermatology, and pediatries
SN - 0025-7974
IS - 25
M1 - e7369
ER -