首页    期刊浏览 2024年10月04日 星期五
登录注册

文章基本信息

  • 标题:Hepatic glycogenosis in type 1 diabetes mellitus mimicking Mauriac syndrome
  • 本地全文:下载
  • 作者:Jung, In Ah ; Cho, Won Kyoung ; Jeon, Yeon Jin
  • 期刊名称:Korean Journal of Pediatrics
  • 印刷版ISSN:1738-1061
  • 出版年度:2015
  • 卷号:58
  • 期号:6
  • 页码:234-237
  • DOI:10.3345/kjp.2015.58.6.234
  • 语种:English
  • 出版社:The Korean Pediatric Society
  • 摘要:

    Hepatic glycogenosis in type 1 diabetes mellitus (DM) can be caused by poor glycemic control due to insulin deficiency, excessive insulin treatment for diabetic ketoacidosis, or excessive glucose administration to control hypoglycemia. Mauriac syndrome, which is characterized by hepatomegaly due to hepatic glycogenosis, growth retardation, delayed puberty, and Cushingoid features, is a rare diabetic complication. We report a case of hepatic glycogenosis mimicking Mauriac syndrome. A 14-year-old girl with poorly controlled type 1 DM was admitted to The Catholic University of Korea, Seoul St. Mary's Hospital for abdominal pain and distension. Physical examination revealed hepatomegaly and a Cushingoid face. The growth rate of the patient had decreased, and she had not yet experienced menarche. Laboratory findings revealed elevated liver enzyme levels. A liver biopsy confirmed hepatic glycogenosis. Continuous glucose monitoring showed hyperglycemia after meals and frequent hypoglycemia before meals. To control hyperglycemia, we increased insulin dosage by using an insulin pump. In addition, we prescribed uncooked cornstarch to prevent hypoglycemia. After strict blood glucose control, the patient's liver functions and size normalized. The patient subsequently underwent menarche. Hepatic glycogenosis is a complication of type 1 DM that is reversible with appropriate glycemic control.

  • 关键词:type 1 diabetes mellitus; Diabetes Complications; Hypoglycemia; Hepatomegaly
国家哲学社会科学文献中心版权所有