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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.
Abstract:
Diabetes in patients with cystic fibrosis (CF) is common but typically does not occur before the age of 10 years. We describe a male with cystic fibrosis who developed diabetes, consistent with cystic fibrosis related diabetes, at the age of 2 years and treated successfully with insulin.
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