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The Role of Imatinib in Pediatric Type 1 Diabetes
Kristen Lavelle1,2,3, Chester Chamberlain2,3, Michael German1,2,3
1Department of Medicine, Division of Endocrinology and Metabolism, University of California, San Francisco, CA 94143, USA.
Abstract:
We report the first case of imatinib use in an adolescent with diabetes and suggest that it impacts the natural course of disease. A 14-year-old male patient presented in diabetic ketoacidosis (DKA) and was diagnosed with presumed autoantibody-negative type 1 diabetes (T1D) as well as myeloid neoplasm with platelet-derived growth factor receptor beta (PDGFRB) rearrangement. After starting exogenous insulin and imatinib, he experienced a 1.7-point reduction in glycated hemoglobin (HbA1c) and a 71% reduction in insulin requirement with sustained partial diabetes remission. Our case suggests imatinib as a potential therapeutic agent for pediatric T1D.
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