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Hepatic glycogenosis in type 1 diabetes mellitus mimicking Mauriac syndrome / 소아과
Korean Journal of Pediatrics ; : 234-237, 2015.
Artículo en Inglés | WPRIM | ID: wpr-83627
ABSTRACT
Hepatic glycogenosis in type 1 diabetes mellitus (DM) can be caused by poor glycemic control due to insulin deficiency, excessive insulin treatment for diabetic ketoacidosis, or excessive glucose administration to control hypoglycemia. Mauriac syndrome, which is characterized by hepatomegaly due to hepatic glycogenosis, growth retardation, delayed puberty, and Cushingoid features, is a rare diabetic complication. We report a case of hepatic glycogenosis mimicking Mauriac syndrome. A 14-year-old girl with poorly controlled type 1 DM was admitted to The Catholic University of Korea, Seoul St. Mary's Hospital for abdominal pain and distension. Physical examination revealed hepatomegaly and a Cushingoid face. The growth rate of the patient had decreased, and she had not yet experienced menarche. Laboratory findings revealed elevated liver enzyme levels. A liver biopsy confirmed hepatic glycogenosis. Continuous glucose monitoring showed hyperglycemia after meals and frequent hypoglycemia before meals. To control hyperglycemia, we increased insulin dosage by using an insulin pump. In addition, we prescribed uncooked cornstarch to prevent hypoglycemia. After strict blood glucose control, the patient's liver functions and size normalized. The patient subsequently underwent menarche. Hepatic glycogenosis is a complication of type 1 DM that is reversible with appropriate glycemic control.
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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Examen Físico / Pubertad Tardía / Almidón / Biopsia / Glucemia / Menarquia / Enfermedad del Almacenamiento de Glucógeno / Dolor Abdominal / Cetoacidosis Diabética / Complicaciones de la Diabetes Límite: Adolescente / Femenino / Humanos País/Región como asunto: Asia Idioma: Inglés Revista: Korean Journal of Pediatrics Año: 2015 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Examen Físico / Pubertad Tardía / Almidón / Biopsia / Glucemia / Menarquia / Enfermedad del Almacenamiento de Glucógeno / Dolor Abdominal / Cetoacidosis Diabética / Complicaciones de la Diabetes Límite: Adolescente / Femenino / Humanos País/Región como asunto: Asia Idioma: Inglés Revista: Korean Journal of Pediatrics Año: 2015 Tipo del documento: Artículo