Erschienen in:
03.02.2022 | Clinical Quiz
An adolescent with newly diagnosed diabetes mellitus presenting with edema: Questions
verfasst von:
Ashna Pudupakkam, Faris Hashim, Matthew Stephen, Stephanie Blasick
Erschienen in:
Pediatric Nephrology
|
Ausgabe 8/2022
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Excerpt
A 16-year-old girl with newly diagnosed type 1 diabetes (T1D) presented to the emergency department with edema associated with weight gain. Four days prior, she was diagnosed with new-onset diabetes after presenting to the hospital with glucose 550 mg/dL, serum ketones 6.1 mmol/L, and development of symptoms over the preceding 3 months. Hemoglobin A1c was elevated at 16.1, and GAD-65 and zinc transporter 8 antibodies were positive. She was started on multiple daily injection insulin therapy with improvement in glucose and symptoms. Following discharge, she developed edema of bilateral legs which spread to involve her feet, arms, and face. She also reported a weight gain of 8 kg (41st percentile, z-score increased from − 0.2 to 0.5) since discharge. She denied associated fever, shortness of breath, chest pain, abdominal pain, nausea or vomiting, and changes in urination. …
