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Amenorrhea, ptosis and high insulin requirement in a young girl
K V S Hari Kumar1, Sandeep Kumar2
1Department of Endocrinology, Command Hospital, Chandimandir, Haryana, India.
Abstract:
Lipodystrophy is an uncommon condition leading to excessive insulin requirement and menstrual abnormalities in young girls with diabetes. Neurological symptoms are uncommon in patients of generalized or partial lipodystrophy. We recently encountered a young girl, who presented with high insulin requirement, amenorrhea and neurological symptoms. Detailed evaluation led to the diagnosis of congenital lipodystrophy and we describe the same in this report. We also highlight the atypical features of the congenital lipodystrophy and the reasons for the excessive insulin requirement in patients with diabetes mellitus.
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