[Hyperglycemic, hyperosmolar nonketotic diabetic coma in the pediatric age]
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Insights
A rare case of hyperglycemic hyperosmolar nonketotic diabetic coma occurred in an 8-year-old boy following severe mental trauma. This highlights the importance of measuring plasma osmolarity in pediatric diabetic coma cases.
Area of Science:
- Pediatric Endocrinology
- Diabetology
- Psychosomatic Medicine
Background:
- Non-ketotic hyperglycemic-hyperosmolar diabetic coma is a rare but serious complication of diabetes mellitus.
- While more common in adults, pediatric cases are exceptionally infrequent, with only 18 reported previously.
- The role of psychological stress in precipitating diabetic emergencies in children warrants further investigation.
Observation:
- A case report of an 8-year-old boy experiencing non-ketotic hyperglycemic-hyperosmolar diabetic coma is presented.
- The event was preceded by a period of severe mental trauma.
- This represents the 19th reported case in pediatric patients.
Findings:
- Virological and immunological investigations were conducted.
- Insulinogenic function and psychodiagnostic assessments were performed.
- The diagnosis, aetiopathogenesis, and therapeutic strategies for this unusual presentation were discussed.
Implications:
- This case underscores the potential link between severe psychological stress and diabetic ketoacidosis in children.
- Measuring plasma osmolarity is crucial for diagnosing and managing pediatric diabetic coma.
- Further research into the psychosomatic aspects of diabetes in children is recommended.
Abstract:
A case of non-ketotic hyperglycaemic-hyperosmolar diabetic coma in a 8 yr. old boy after a severe mental trauma is reported. This joins the 18 similar cases of paediatric age published up to now. On the basis of the results of virological and immunological investigations, insulinogenic function and psychodiagnosis, the diagnosis, aetiopathogenesis and therapy of this unusual event are discussed. The desirability of measuring plasma osmolarity in children diabetic coma is stressed.