title: Mauriac syndrome still exists.
abstract: OBJECTIVE
  Mauriac syndrome (MS) is a rare complication of type 1 diabetes mellitus (DM1). It is related to low insulin concentrations and is less common since longer-acting insulins became available. It is characterized by hepatomegaly, growth and puberty delay, and the presence of elevated transaminases and serum lipids. The aim of this study was to describe the patients from a pediatric diabetic population that fulfill the criteria of MS.
  
  
  METHODS
  A retrospective analysis of the pediatric diabetic population with diagnostic criteria of MS currently followed at Hospital de Braga, was performed.
  
  
  RESULTS
  From a population of 91 patients with DM1 18 years, 6 patients with the criteria for MS were identified: 5 girls, and 1 boy. The age at presentation was 13-17 years, with a minimum interval between DM1 diagnosis and MS criteria of 4 years. All the patients were prescribed intensive insulin therapy (median daily insulin dose: 0.88 U/kg). All had a previous history of poor glycemic control before the diagnosis of MS with glycated hemoglobin (HbA1c) between 8.8 and 12.9%. Increase of hepatic enzymes was present in all the patients; 4 of them had associated hepatomegaly. All the girls presented puberty delay and cushingoid features. None of the patients presented short stature and 5 of them presented mixed dyslipidemia.
  
  
  CONCLUSIONS
  Although MS is an ancient entity described in DM1, it still exists, particularly in adolescent females. Being aware of MS is of extreme importance since most of the clinical features are reversible with better glycemic control.
authors.affiliation: Consulta de Endocrinologia Pediatrica, Servicio de Pediatria, Hospital de Braga, Braga, Portugal. joanamprdias@gmail.com
authors.forename: Joana
authors.initials: J
authors.lastname: Dias
authors.forename: Sofia
authors.initials: S
authors.lastname: Martins
authors.forename: Susana
authors.initials: S
authors.lastname: Carvalho
authors.forename: Olinda
authors.initials: O
authors.lastname: Marques
authors.forename: Ana
authors.initials: A
authors.lastname: Antunes
mesh_terms: D000293:Adolescent; D048909:Diabetes Complications / Q000175:diagnosis*; D003922:Diabetes Mellitus, Type 1 / Q000150:complications*; D050171:Dyslipidemias / Q000175:diagnosis* / Q000209:etiology*; D005260:Female; D006130:Growth Disorders / Q000175:diagnosis* / Q000209:etiology*; D006529:Hepatomegaly / Q000175:diagnosis* / Q000209:etiology*; D006801:Humans; D008297:Male; D011628:Puberty, Delayed / Q000175:diagnosis* / Q000209:etiology*; D012189:Retrospective Studies; D013577:Syndrome