Format

Send to

Choose Destination
J Pediatr Endocrinol Metab. 2019 Jul 19. pii: /j/jpem.ahead-of-print/jpem-2019-0222/jpem-2019-0222.xml. doi: 10.1515/jpem-2019-0222. [Epub ahead of print]

Pediatric stroke as the presenting symptom of new-onset type 1 diabetes mellitus without DKA: case report and literature review.

Author information

1
Wake Forest University Baptist Health, Department of Pediatrics, Winston Salem, NC, USA.

Abstract

Background Stroke and other neurologic complications are rare in pediatric type 1 diabetes mellitus (T1DM) without severe diabetic ketoacidosis (DKA) or poor glycemic control. Case presentation A previously healthy, 10-year-old female presented with acute thalamic stroke, non-acidotic new T1DM diagnosis and negative hypercoagulopathy workup. She received routine insulin therapy and aspirin, and returned to neurologic baseline within a year without stroke recurrence. Conclusions The contribution of non-acidotic hyperglycemia to stroke risk is better described in adults. Even though unable to prove causality, this case should at least raise awareness of the possible association of pediatric new-onset diabetes and stroke for optimal outcomes.

KEYWORDS:

new onset diabetes; pediatric; stroke

PMID:
31323009
DOI:
10.1515/jpem-2019-0222

Supplemental Content

Full text links

Icon for Sheridan PubFactory
Loading ...
Support Center