A child with abdominal pain and hyperglycemia:: Is it Diabetic ketoacidosis?

被引：1

作者：

Waseem, Muhammad ^{[1
]}

Narasimhan, Meena ^{[2
]}

Ganti, Sandhya ^{[1
]}

机构：

[1] Lincoln Med & Mental Hlth Ctr, Dept Emergency Med, Bronx, NY 10451 USA

[2] Lincoln Med & Mental Hlth Ctr, Dept Pediat, Bronx, NY 10451 USA

来源：

PEDIATRIC EMERGENCY CARE | 2008年 / 24卷 / 01期

关键词：

abdominal pain; hyperglycemia; pancreatitis;

D O I：

10.1097/pec.0b013e31815f6f46

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Hyperglycemia, abdominal pain, and vomiting are the most common manifestations of diabetic ketoacidosis in pediatric patients. The absence of ketonemia in these patients should prompt a consideration of acute pancreatitis. We report a case of an 11-year-old girl with acute necrotizing pancreatitis, who was initially diagnosed as having new onset diabetes with nonketotic hyperglycemia.

引用

页码：39 / 40

页数：2

共 17 条

[1]

Chase CW, 1996, AM SURGEON, V62, P1028

[2]

DeBanto JR, 2002, AM J GASTROENTEROL, V97, P1726

[3] Severity scoring for prognostication in patients with severe acute pancreatitis - Comparative analysis of the ranson score and the APACHE III score [J].

Eachempati, SR ;

Hydo, LJ ;

Barie, PS .

ARCHIVES OF SURGERY, 2002, 137 (06) :730-736

[4] Gastrointestinal complications of diabetes mellitus [J].

Ebert, EC .

DM DISEASE-A-MONTH, 2005, 51 (12) :620-663

[5] Persistent hyperglycemia in critically ill children [J].

Faustino, EV ;

Apkon, M .

JOURNAL OF PEDIATRICS, 2005, 146 (01) :30-34

[6] Acute abdominal pain [J].

Flasar, MH ;

Goldberg, E .

MEDICAL CLINICS OF NORTH AMERICA, 2006, 90 (03) :481-+

[7] Emergency complications of acute and chronic pancreatitis [J].

Law, NM ;

Freeman, ML .

GASTROENTEROLOGY CLINICS OF NORTH AMERICA, 2003, 32 (04) :1169-+

[8] COMPARATIVE-STUDY OF METHODS FOR THE PREDICTION OF SEVERITY OF ATTACKS OF ACUTE-PANCREATITIS [J].

MCMAHON, MJ ;

PLAYFORTH, MJ ;

PICKFORD, IR .

BRITISH JOURNAL OF SURGERY, 1980, 67 (01) :22-25

[9] Association of diabetic ketoacidosis and acute pancreatitis: Observations in 100 consecutive episodes of DKA [J].

Nair, S ;

Yadav, D ;

Pitchumoni, CS .

AMERICAN JOURNAL OF GASTROENTEROLOGY, 2000, 95 (10) :2795-2800

[10] MARKED HYPERLIPASEMIA IN DIABETIC-KETOACIDOSIS - A REPORT OF 3 CASES [J].

NSIEN, EE ;

STEINBERG, WM ;

BORUM, M ;

RATNER, R .

JOURNAL OF CLINICAL GASTROENTEROLOGY, 1992, 15 (02) :117-121

← 1 2 →