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Severe hyperlipidaemia complicating diabetic ketoacidosis
  1. Scott Williamson1,
  2. Vicky Alexander2,
  3. Stephen Alan Greene3
  1. 1Department of Paediatrics, NHS Ayrshire & Arran, Kilmarnock, UK
  2. 2Tayside Children's Hospital, NHS Tayside, Dundee, UK
  3. 3Maternal and Child Health Sciences, University of Dundee, Dundee, UK
  1. Correspondence to Scott Williamson, NHS Ayrshire & Arran, Paediatrics, Crosshouse Hospital, Kilmarnock KA2 0BE, UK; scott.williamson{at}

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An 8-year-old girl presented with diabetic ketoacidosis (DKA) following 6 months of malaise, 1 month of perineal candidiasis and 1 week of polyuria and polydipsia. She had Kussmaul respirations, but was fully conscious. Blood glucose was 34.9 mmol/l, pH 7.0 and bicarbonate 6.8 mmol/l.

Her venous blood appeared grossly lipaemic (figure 1). Triglyceride levels on admission were 122.63 mmol/l (ref <2.3 mmol/l). HbA1c on …

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