Education And Debate

A difficult case: Childhood onset insulin dependent diabetes presenting with severe hyperlipidaemia

BMJ 1997; 314 doi: (Published 04 January 1997) Cite this as: BMJ 1997;314:62
  1. Godfrey Nyamugunduru, paediatric registrara,
  2. Helen Roper, consultant paediatriciana
  1. a Birmingham Heartlands Hospital, Birmingham B9 5SS
  1. Correspondence to: Dr Nyamugunduru Birmingham Children's Hospital, Birmingham B16 8ET.


    A mild increase in serum lipid concentrations is a common feature of diabetic ketoacidosis. Severe hyperlipidaemia with milky plasma is rare.1 It may occur at presentation of diabetes mellitus2 or in poorly controlled diabetes.1 We report a case of a child with newly diagnosed diabetes who presented with severe hyperlipidaemia.

    Case report

    A 14 year old girl was referred by her general practitioner with a week's history of sore throat, fever, and headache and a two day history of intermittent vomiting. She was taking amoxycillin, which had been prescribed five days earlier. She had no relevant past or family history. She looked well and was afebrile and not dehydrated. Her …

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