Home Diabetic lipemia presenting as eruptive xanthomas in a child with autoimmune polyglandular syndrome type IIIa
Article
Licensed
Unlicensed Requires Authentication

Diabetic lipemia presenting as eruptive xanthomas in a child with autoimmune polyglandular syndrome type IIIa

  • Prerna Batra EMAIL logo , Rashi Singhal and Dheeraj Shah
Published/Copyright: September 21, 2011

Abstract

Diabetic lipemia, although common in type 2 diabetes, is rare in type 1 diabetes mellitus. It may manifest as lipemia retinalis, eruptive xanthomas, fatty liver, and pancreatitis. We describe a 6-year-old girl diagnosed with autoimmune poly­glandular syndrome type IIIa, who presented with diabetic lipemia manifesting as eruptive xanthomas. Probable metabolic derangements causing such severe lipid abnormalities and its treatment are discussed.


Corresponding author: Prerna Batra, MBBS, MD, C-901, Exotica Elegance, Ahinsa Khand II, Indrapuram, Ghaziabad, 201010 Uttar Pradesh, India, Phone: +91-995-8672759, E-mail:
aContributions of authors: The manuscript has been read and approved by all the authors and requirement for authorship of this document has been met. Each author believes that the manuscript represents honest work. They did not receive grants from any commercial entity in support of this work. There are no conflicts of interest.

References

1. Neufeld M, Blizzard RM. Polyglandular autoimmune diseases. In: Pinchera A, Doniach D, Fenzi GF, Baschieri L, editors. Symposium on autoimmune aspects of endocrine disorders. New York: Academic Press, 1980:357–65.Search in Google Scholar

2. Bustos P, Radojkovic C, Ulloa N, Munoz M, Martinez A, et al. Lipoprotein composition in children and adolescents with type 1 diabetes mellitus. Pediatr Endocrinol Metab 2005;18:257–64.10.1515/JPEM.2005.18.3.257Search in Google Scholar

3. Abraha A, Schultz C, Konopelska-Bahu T, James T, Watts A, et al. Glycaemic control and familial factors determine hyperlipidaemia in early childhood diabetes. Oxford Regional Prospective Study of Childhood Diabetes. Diabet Med 1999;16:598–604.10.1046/j.1464-5491.1999.00109.xSearch in Google Scholar PubMed

4. Torres TM, Zamora GJ, Bravo RL, Cardoso SG, Mendoza MF, et al. Lipoprotein (a) levels in children and adolescents with diabetes. Rev Invest Clin 1997;49:437–43.Search in Google Scholar

5. Nyamugunduru G, Roper H. A difficult case. Childhood onset insulin dependent diabetes presenting with severe hyperlipidemia. Br Med J 1997;314:62–5.10.1136/bmj.314.7073.62Search in Google Scholar PubMed PubMed Central

6. Matoussi N, Aissa K, Fitouri Z, Cheour M, Ben Bencher S. Hyperlipidemia associated to inaugurated diabetes ketoacidosis. Tunis Med 2006;84:658–9.Search in Google Scholar

7. Jain SS, Thomas S, Motwane SA, Seth A. Lipaemia retinalis in a case of juvenile diabetic ketoacidosis. Ind J Ophthalmol 1999;47:192–3.Search in Google Scholar

8. Binić I, Janković A. Eruptive xanthomas associated with diabetes mellitus. Chin Med J 2009;122:2074–5.Search in Google Scholar

9. Shinozaki S, Itabashi N, Rokkaku K, Ichiki K, Nagasaka S, et al. Diabetic lipemia with eruptive xanthomatosis in a lean young female with apolipoprotein E4/4. Diabetes Res Clin Pract 2005;70:183–92.10.1016/j.diabres.2005.03.023Search in Google Scholar PubMed

10. Nayak KR, Daly RG. Images in clinical medicine: eruptive xanthomas associated with hypertriglyceridemia and new-onset diabetes mellitus. N Engl J Med 2004;350:1235.10.1056/NEJMicm030676Search in Google Scholar PubMed

Received: 2011-3-30
Accepted: 2011-8-16
Published Online: 2011-9-21
Published in Print: 2014-5-1

©2014 by Walter de Gruyter Berlin/Boston

Articles in the same Issue

  1. Frontmatter
  2. Original articles
  3. Assessment of hearing in children with type 1 diabetes mellitus
  4. Insulin resistance and lipid profiles in HIV-infected Thai children receiving lopinavir/ritonavir-based highly active antiretroviral therapy
  5. Increased hunger and speed of eating in obese children and adolescents
  6. Glucagon and insulin cord blood levels in very preterm, late preterm and full-term infants
  7. Thyroid function in late preterm infants in relation to mode of delivery and respiratory support
  8. Prevalence of vitamin D deficiency and its related factors in children and adolescents living in North Khorasan, Iran
  9. Asymmetric dimethyl L-arginine, nitric oxide and cardiovascular disease in adolescent type 1 diabetics
  10. A combined nutritional-behavioral-physical activity intervention for the treatment of childhood obesity – a 7-year summary
  11. The effect of earlier puberty on cardiometabolic risk factors in Afro-Caribbean children
  12. Prevalence of risk of deficiency and inadequacy of 25-hydroxyvitamin D in US children: NHANES 2003–2006
  13. Serum uric acid: relationships with biomarkers in adolescents and changes over 1 year
  14. Psychological impact on parents of children with congenital adrenal hyperplasia: a study from Sri Lanka
  15. Investigation of adropin and leptin levels in pediatric obesity-related nonalcoholic fatty liver disease
  16. Diseases accompanying congenital hypothyroidism
  17. Molecular diagnosis of a Chinese pedigree with α-mannosidosis and identification of a novel missense mutation
  18. Are the characteristics of thyroid cancer different in young patients?
  19. Unsaturated fatty acids and insulin resistance in childhood obesity
  20. Effect of genetic subtypes and growth hormone treatment on bone mineral density in Prader-Willi syndrome
  21. KCNJ11 gene mutation analysis on nine Chinese patients with type 1B diabetes diagnosed before 3 years of age
  22. Prevalence and risk factors of metabolic syndrome in school adolescents of northeast China
  23. Patient reports
  24. A novel activating ABCC8 mutation underlying neonatal diabetes mellitus in an infant presenting with cerebral sinovenous thrombosis
  25. Endocrinological anomalies in a patient with 12q14 microdeletion syndrome. Completing phenotype of this exceptional short stature condition
  26. Acute mental status change as the presenting feature of adrenal insufficiency in a patient with autoimmune polyglandular syndrome type II and stroke
  27. Effect of ethosuximide on cortisol metabolism in the treatment of congenital adrenal hyperplasia
  28. Absence of WNT4 gene mutation in a patient with MURCS association
  29. Identification of a novel insulin receptor gene heterozygous mutation in a patient with type A insulin resistance syndrome
  30. Adrenal insufficiency in association with congenital nephrotic syndrome: a case report
  31. Diabetic lipemia presenting as eruptive xanthomas in a child with autoimmune polyglandular syndrome type IIIa
  32. A case report of nephrogenic diabetes insipidus with idiopathic Fanconi syndrome in a child who presented with vitamin D resistant rickets
  33. Letter to the Editor
  34. Hyperbilirubinemia in neonates of diabetic mothers: an indirect biomarker of organ damage?
Downloaded on 24.9.2025 from https://www.degruyterbrill.com/document/doi/10.1515/jpem.2011.236/html
Scroll to top button