title: Bilateral cataracts and insulin oedema in a child with type 1 diabetes mellitus.
abstract: We describe a teenage type 1 diabetic girl with painless pedal oedema and bilateral cataracts. She developed oedema after commencement of intensive insulin therapy and achievement of excellent glycaemic control. In addition, she was also found to have bilateral subcapsular cataracts. The oedema subsided spontaneously and she underwent surgical treatment for the cataracts. Insulin oedema is a rare complication of insulin therapy. To our knowledge, co-occurrence of these two complications in a young diabetic patient has not been described before in the English language medical literature.
authors: Department of Paediatrics, East Surrey Hospital, Redhill, UK. arunaphanish@btinternet.com
authors: Aruna
authors: A
authors: Goturu
authors: Neemisha
authors: N
authors: Jain
authors: Ivor
authors: I
authors: Lewis
mesh_terms: D000293:Adolescent; D002386:Cataract / Q000139:chemically induced / Q000209:etiology*; D003922:Diabetes Mellitus, Type 1 / Q000150:complications* / Q000188:drug therapy; D003937:Diagnosis, Differential; D004487:Edema / Q000139:chemically induced / Q000209:etiology*; D005260:Female; D006801:Humans; D007328:Insulin / Q000008:administration & dosage / Q000009:adverse effects* / Q000627:therapeutic use
chemical_list: D007328:Insulin
references: FASEB J. 1999 Jan;13(1):23-30
references: 9872926
references: J Clin Invest. 1975 Apr;55(4):845-55
references: 1120786
references: J Paediatr Child Health. 1998 Apr;34(2):179-82
references: 9588645
references: Arch Dis Child. 1997 Feb;76(2):118-20
references: 9068299
references: Lancet. 1983 Mar 12;1(8324):548-51
references: 6131255
references: J Pediatr. 1987 Sep;111(3):403-4
references: 3625410
references: J Clin Res Pediatr Endocrinol. 2010;2(1):46-8
references: 21274337
references: Acta Ophthalmol Scand. 1998 Apr;76(2):238-40
references: 9591961
references: J Paediatr Child Health. 2006 Oct;42(10):655-7
references: 16972977
references: Br Med J. 1979 Aug 18;2(6187):445
references: 486988