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BMJ 2009; 338 doi: (Published 16 February 2009) Cite this as: BMJ 2009;338:b620
  1. Peter Tsangaris, ophthalmology specialist trainee,
  2. Owen Anderson, ophthalmology specialist trainee,
  3. Ayesha Siddiqi, consultant physician,
  4. Leslie Alexander, consultant ophthalmologist
  1. 1Southend University Hospital NHS Foundation Trust, Westcliff-on-Sea, Essex SS0 0RY
  1. petertsangaris{at}

    A 17 year old man presented with lethargy, polyuria, polydipsia, and nocturia. He was diagnosed with diabetic ketoacidosis. Further investigations showed profound hypercholesterolaemia …

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