The triad of diabetic ketoacidosis–acute pancreatitis–hypertriglyceridaemia: The value of genetic exploration (notice n° 135639)

détails MARC
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Personal name Alarcan, Hugo
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245 00 - TITLE STATEMENT
Title The triad of diabetic ketoacidosis–acute pancreatitis–hypertriglyceridaemia: The value of genetic exploration
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Date of publication, distribution, etc. 2022.<br/>
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General note 90
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Summary, etc. A 16-year-old child with no medical history was admitted to the hospital emergency room for abdominal pain associated with polyuria-polydipsia and weight loss (baseline BMI: 25.4 kg/m2). A diagnosis of severe ketoacidosis was quickly suggested due to major metabolic acidosis, high ketonemia, and glycemia. Acute pancreatitis was then diagnosed due to a plasmatic lipase at more than ten times normal values, combined with severe hypertriglyceridemia above 100 mmol/L. The triad of diabetic ketoacidosis–acute pancreatitis–hypertriglyceridemia is rarely found in childhood and can have harmful consequences. The etiology of this disease is still not fully understood, as one can be both cause and consequence of the other. Genetic investigation of familial chylomicronemia served to invalidate the dyslipidemia etiology of this event. On the other hand, the association of a genetic variant of lipoprotein lipase leading to a decrease in its activity, with the insulinopenia of type 1 diabetes, most certainly triggered this episode of hypertriglyceridemia.
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Guillon, Antoine
Relator term author
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Personal name Maillot, François
Relator term author
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Personal name Collin-Chavagnac, Delphine
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Christian, Andres
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700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Blasco, Hélène
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700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Piver, Eric
Relator term author
786 0# - DATA SOURCE ENTRY
Note Annales de Biologie Clinique | 80 | 3 | 2022-06-01 | p. 259-267 | 0003-3898
856 41 - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="https://shs.cairn.info/journal-annales-de-biologie-clinique-2022-3-page-259?lang=en">https://shs.cairn.info/journal-annales-de-biologie-clinique-2022-3-page-259?lang=en</a>

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