© 2002 Archives of Disease in Childhood
CASE REPORT
Hypopituitarism following cerebral oedema with diabetic ketoacidosis
1 Royal Belfast Hospital for Sick Children, Northern Ireland, UK
2 Department of Child Health, Queens University, Belfast, Northern Ireland, UK
Correspondence to:
Correspondence to:
Dr D J Carson, Department of Child Health, Institute of Clinical Science, Grosvenor Road, Belfast BT12 6BJ, Northern Ireland, UK;
d.carson{at}qub.ac.uk
Clinical evidence of cerebral oedema occurs in approximately 1% of diabetic ketoacidosis episodes. Mortality from this serious complication is falling, but little is known of long term outcome. We describe hypopituitarism and executive dysfunction developing two years after cerebral oedema complicating diabetic ketoacidosis in a 12 year old with type 1 diabetes.
Keywords: hypopituitarism; cerebral oedema; diabetic ketoacidosis
Abbreviations: CT, computed tomography; DKA, diabetic ketoacidosis; FT4, free thyroxine; Htvel, height velocity; IGF, insulin-like growth factor; TSH, thyroid stimulating hormone
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