Autonomic bladder dysfunction in an adolescent with type 1 diabetes.
Diabetic autonomic bladder dysfunction is rare in the pediatric age group. An adolescent girl aged 16 years and 7 months, with type 1 diabetes mellitus since the age of 6 years, was diagnosed as having diabetic cystopathy. Ultrasonography of the urinary tract showed a distended bladder with normal kidneys. Laboratory evaluation revealed: normal serum urea, creatinine and electrolytes and elevated microalbuminuria. Urodynamic study demonstrated an impaired bladder sensation, increased cystometric capacity and detrusor arreflexia. Although more prevalent in adults and the elderly, autonomic bladder dysfunction must be considered in adolescents with type 1 diabetes mellitus.
Alves
Cresio
C
Pediatric Endocrinology Unit, Hospital Universitario Professor Edgard Santos, Faculty of Medicine, Federal University of Bahia, Brazil. cresio.alves@uol.com.br
Sobral
Marina Moraes
MM
D000293:Adolescent; D001342:Autonomic Nervous System Diseases / Q000000981:diagnostic imaging / Q000503:physiopathology*; D003922:Diabetes Mellitus, Type 1 / Q000150:complications* / Q000000981:diagnostic imaging; D003929:Diabetic Neuropathies / Q000000981:diagnostic imaging / Q000503:physiopathology*; D005260:Female; D006801:Humans; D014463:Ultrasonography; D001743:Urinary Bladder / Q000000981:diagnostic imaging / Q000503:physiopathology; D001750:Urinary Bladder, Neurogenic / Q000000981:diagnostic imaging / Q000503:physiopathology*; D014563:Urodynamics