[Severe hypertriglyceridemia in diabetic ketoacidosis: case report].
OBJECTIVE
Diabetic ketoacidosis is a recurrent problem in the emergency room that requires prompt and effective treatment. Usually, it may be associated with an increase in triglyceride levels, exposing the patient to the risk of pancreatitis.


METHODS
We report the case of a 38-year-old female patient with diabetic ketoacidosis and severe hypertriglyceridemia (triglycerides: 11.758 mg/dL).


RESULTS
The patient was admitted to the Intensive Care Unit. Hydration and intravenous insulin were performed with success. During hospitalization, the levels of triglycerides decreased significantly and the levels of amylase and lipase remained at normal ranges, not suggesting pancreatitis. No other Brazilian cases with these levels of triglycerides were found.


CONCLUSIONS
We conclude that, in diabetic ketoacidosis, lipid profile, including triglycerides, should be requested, due to a not negligible prevalence of complications such as hypertriglycerides and pancreatitis.
Lucchetti
Giancarlo
G
Centro de Terapia Intensiva, Hospital de Aeronáutica de São Paulo, São Paulo, SP, Brazil. gian.tln@terra.com.br
Granero
Alessandra Lamas
AL
Almeida
Luis Guilherme Camargo de
LG
Battistella
Vinicius Marcus
VM
D000328:Adult; D016883:Diabetic Ketoacidosis / Q000097:blood* / Q000150:complications / Q000175:diagnosis; D005260:Female; D006801:Humans; D015228:Hypertriglyceridemia / Q000097:blood* / Q000150:complications; D014280:Triglycerides / Q000097:blood
D014280:Triglycerides