A child with abdominal pain and hyperglycemia: is it diabetic ketoacidosis?
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.
Waseem
Muhammad
M
Department of Emergency Medicine, Lincoln Medical and Mental Health Center, Bronx, NY 10451, USA. waseemm2001@hotmail.com
Narasimhan
Meena
M
Ganti
Sandhya
S
D015746:Abdominal Pain / Q000175:diagnosis / Q000209:etiology; D001774:Blood Chemical Analysis; D001786:Blood Glucose / Q000032:analysis; D002648:Child; D016883:Diabetic Ketoacidosis / Q000175:diagnosis* / Q000188:drug therapy; D003937:Diagnosis, Differential; D004636:Emergency Service, Hospital; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006943:Hyperglycemia / Q000175:diagnosis* / Q000188:drug therapy; D007328:Insulin / Q000627:therapeutic use; D009765:Obesity / Q000175:diagnosis; D010186:Pancreatic Function Tests; D019283:Pancreatitis, Acute Necrotizing / Q000175:diagnosis* / Q000628:therapy; D018570:Risk Assessment; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D001786:Blood Glucose; D007328:Insulin