Cystic fibrosis related diabetes in an extremely young patient

Luis Casas1, Debbie R Berry, Kathy Logan

  • 1The University of Oklahoma Health Sciences Center, Department of Pediatrics, Oklahoma City, OK, 73104, USA. luis-casas@ouhsc.edu

Insights

Cystic fibrosis-related diabetes (CFRD) usually appears after age 10. This case study details a 2-year-old with cystic fibrosis successfully treated for early-onset CFRD with insulin.

Area of Science:

  • Pediatrics
  • Endocrinology
  • Pulmonology

Background:

  • Cystic fibrosis (CF) is a genetic disorder affecting multiple organs, primarily the lungs and digestive system.
  • Cystic fibrosis-related diabetes (CFRD) is a common complication, typically diagnosed in patients over 10 years old.
  • Early detection and management of CFRD are crucial for improving patient outcomes.

Observation:

  • A male infant diagnosed with cystic fibrosis presented with symptoms suggestive of diabetes.
  • The patient developed diabetes at the unprecedented age of 2 years.
  • This presentation was consistent with an early-onset form of cystic fibrosis-related diabetes.

Findings:

  • The patient was diagnosed with cystic fibrosis-related diabetes at 2 years of age.
  • The early-onset diabetes was successfully managed with insulin therapy.
  • This case highlights the possibility of CFRD occurring significantly earlier than typically observed.

Implications:

  • This case challenges the conventional understanding of the typical age of onset for CFRD.
  • It underscores the importance of vigilant monitoring for diabetes in very young children with cystic fibrosis.
  • Further research may be needed to understand the mechanisms behind early-onset CFRD and optimize treatment strategies.

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