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Diabetes in young--unusual case presentation.
K V S Hari Kumar1, Sai Priya, Altamash Shaikh
1Department of Endocrinology, Command Hospital, Lucknow 226002, UP, India. hariendo@rediffmail.com
Journal of Pediatric Endocrinology & Metabolism : JPEM
|September 22, 2011
Summary
Type 1 diabetes can present with autoimmune conditions like vitiligo. This case highlights a young boy with vitiligo and hyperglycemia due to chronic pancreatitis, not typical type 1 or type 2 diabetes.
Area of Science:
- Endocrinology
- Pediatrics
- Diabetology
Background:
- Increasing prevalence of diabetes in youth necessitates understanding diverse presentations.
- Type 2 diabetes often shows obesity and acanthosis nigricans.
- Type 1 diabetes may be indicated by autoimmune markers like vitiligo or hypothyroidism.
Observation:
- A young boy with vitiligo presented with hyperglycemia.
- The patient did not exhibit ketonuria, a common sign in diabetic ketoacidosis.
- An underlying diagnosis of chronic pancreatitis was identified, leading to secondary diabetes.
Findings:
- This case presents an unusual etiology for diabetes in a young individual.
- Vitiligo, typically associated with autoimmune diabetes, was present alongside hyperglycemia.
- Chronic pancreatitis was the cause of secondary diabetes, distinct from typical type 1 or type 2 diabetes.
Implications:
- Highlights the importance of considering non-classical causes of diabetes in children.
- Suggests that autoimmune conditions can coexist with other etiologies of diabetes.
- Emphasizes the need for comprehensive diagnostic evaluation in pediatric diabetes cases.
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