LIMITED JOINT MOBILITY IN A CHILD WITH TYPE 1 DIABETES MELLITUS
Mohammad H Al-Qahtani1, Fai A AlQahtani1
1Department of Pediatrics, Collage of Medicine, King Fahad Hospital of the University, Imam Abdulrahman Bin Faisal University, Alkhobar, Saudi Arabia.
Insights
Limited joint mobility (LJM) in children with type 1 diabetes is rare but signals high risk for microvascular complications. This case highlights LJM as a crucial warning sign in pediatric type 1 diabetes management.
Area of Science:
- Endocrinology
- Pediatrics
- Diabetology
Background:
- Type 1 diabetes mellitus (type 1DM) uncontrolled poses significant risks for systemic complications, including microvascular and macrovascular issues.
- Limited joint mobility (LJM) is a rare complication of diabetes, potentially indicating a heightened risk for microvascular disease development in affected patients.
Observation:
- A 13-year-old female with chronic, uncontrolled type 1DM presented with advanced bilateral hand LJM and notable growth failure.
- Despite the LJM presentation, the patient showed no clinical or biochemical evidence of microvascular complications at the time of observation.
Findings:
- The co-occurrence of LJM and growth failure in a pediatric patient with type 1DM is exceptionally rare.
- This case underscores the importance of recognizing LJM as a significant indicator, even in the absence of current microvascular complications.
Implications:
- Early identification of LJM in pediatric type 1DM patients may serve as a critical warning sign for impending microvascular complications.
- This manifestation warrants closer monitoring and proactive management strategies to mitigate long-term diabetic complications in children.
Abstract:
Chronic uncontrolled type 1 diabetes mellitus (type 1DM) is a very major risk for chronic systemic complications; specifically, the microvascular and macrovascular ones. Limited joint mobility (LJM) is a rare disease that complicates all types of diabetes and might indicate the high-risk odd for the diabetic patients to develop microvascular complications. We are reporting a 13-year-old female child with chronic uncontrolled type 1DM presenting with full blown clinical picture of bilateral hand LJM associated with significant growth failure yet has no clinical or biochemical evidence of microvascular complications. Literature research studies have emphasized the rarity of this manifestation in pediatric type 1 diabetic patients; however, it is an important clue and warning sign for microvascular complication occurrence in these patients.
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