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ApoE isoform leading to hypertriglyceridemia in new onset type 1 diabetes
Christel Keefe1, Sarah Lawson1
1Cincinnati Children's Hospital Medical Center University of Cincinnati Cincinnati OH USA.
Insights
Diabetic ketoacidosis (DKA) in children can present with high triglycerides. Genetic factors, like the ApoE e3/e4 isoform, may increase this risk. Further genetic testing is recommended for severe cases.
Area of Science:
- Endocrinology
- Genetics
- Metabolic Disorders
Background:
- Diabetic ketoacidosis (DKA) is a serious complication of diabetes.
- Hypertriglyceridemia is occasionally observed in DKA.
- The genetic underpinnings of hypertriglyceridemia in pediatric DKA are not well understood.
Abstract:
We report a case of pediatric diabetic ketoacidosis (DKA) with significant hypertriglyceridemia. The patient was found to have the e3/ e4 isoform of ApoE, increasing risk of hypertriglyceridemia in DKA. We suggest further genetic investigation for patients presenting with severe hypertriglyceridemia and DKA.
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