In:
International Journal of Advanced Research, International Journal Of Advanced Research, Vol. 12, No. 04 ( 2024-04-30), p. 120-124
Abstract:
Background:insulin deficiency in diabetes leads to many complications. Hepatocyte glycogen overload, previously known as Mauriac syndrome, is one of them. It is a rare syndrome initially described in type 1 diabetic children in whom significant hyperglycemia is followed by administration of high doses of insulin. Case Presentation:We present the case of a 17-year-old girl withuncontrolled type 1 diabetes. Admitted for growth retardation in addition to impuberism. The clinical examination revealed a weight delay associated with a distended abdomen and hepatomegaly. The laboratory work-up showed cytolysis and anicteric cholestasis with negative viral serologies and immunological assessment. Hepatic ultrasound revealed a 19 cm hepatomegaly without any focal signs or steatosis, as confirmed by a bili-MRI that proved the same finding. A management based on insulin therapy was introduced. The etiological investigation of the hepatic disturbances was negative. Conclusions:The course was satisfactory under appropriate insulin therapy. The diagnosis of hepatic glycogenosis was based on a combination of anamnestic, clinical and histological findings, given the absence of other abnormalities responsible for the liver disturbances.
Type of Medium:
Online Resource
ISSN:
2320-5407
DOI:
10.21474/IJAR01/18527
Language:
Unknown
Publisher:
International Journal Of Advanced Research
Publication Date:
2024
detail.hit.zdb_id:
2733321-8
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