Dilated cardiomyopathy as the first early complication in a 14 year-old girl with diabetes mellitus type 1.
Diabetic cardiomyopathy (DC) has been reported in type 2 diabetics with short duration of clinically overt diabetes. Impaired left ventricular function has been reported in young patients with diabetes mellitus type 1 (IDDM), but severe cardiomyopathy as the first early major complication of IDDM is very rare. We report a 14 year-old girl with a 5-year history of IDDM and very poor compliance with treatment and follow-up. She was referred to our clinic upon the development of congestive heart failure and dilated cardiomyopathy was diagnosed based on clinical findings, electrocardiogram, chest X-ray and echocardiography. She had no evidence of other major complications of IDDM such as retinopathy, nephropathy or neuropathy.
Büyükgebiz
A
A
Department of Pediatric Endocrinology, Dokuz Eylül University Faculty of Medicine, Izmir, Turkey.
Saylam
G
G
Dündar
B
B
Böber
E
E
Unal
N
N
Akcoral
A
A
D000293:Adolescent; D002311:Cardiomyopathy, Dilated / Q000175:diagnosis*; D003922:Diabetes Mellitus, Type 1; D003925:Diabetic Angiopathies / Q000175:diagnosis*; D004452:Echocardiography; D004562:Electrocardiography; D005260:Female; D006333:Heart Failure / Q000175:diagnosis; D006801:Humans; D013902:Radiography, Thoracic; D018487:Ventricular Dysfunction, Left / Q000175:diagnosis