WMJ : official publication of the State Medical Society of Wisconsin · 2024
Extremely Early Onset Type 1 Diabetes in the Emergency Setting: A Unique Presentation of a Common Childhood Onset Disease.
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Whiteford Erin, Drendel Amy
Аннотация
INTRODUCTION: As the prevalence of type 1 and type 2 diabetes continues to increase, hospitals have developed protocols for managing its many complications, particularly diabetic ketoacidosis. However, extremely early onset type 1 diabetes, defined as onset at age < 2 years old, remains a diagnostic challenge to the community clinician.
CASE PRESENTATION: We report a case report of a 19-month-old female thought to have acute on chronic constipation who presented to our pediatric emergency department and was subsequently found to be in diabetic ketoacidosis.
DISCUSSION: This case emphasizes the importance of maintaining a high suspicion for this potentially lethal disease presentation, as well as the variety of symptoms that can occur with it.
CONCLUSIONS: The limited communicative ability of the pediatric population often results in unclear or vague initial complaints at disease onset. This has led to a paucity of literature and knowledge surrounding the diagnosis of extremely early onset type 1 diabetes, making delayed diagnosis and its associated complications commonplace.
CASE PRESENTATION: We report a case report of a 19-month-old female thought to have acute on chronic constipation who presented to our pediatric emergency department and was subsequently found to be in diabetic ketoacidosis.
DISCUSSION: This case emphasizes the importance of maintaining a high suspicion for this potentially lethal disease presentation, as well as the variety of symptoms that can occur with it.
CONCLUSIONS: The limited communicative ability of the pediatric population often results in unclear or vague initial complaints at disease onset. This has led to a paucity of literature and knowledge surrounding the diagnosis of extremely early onset type 1 diabetes, making delayed diagnosis and its associated complications commonplace.