2010, Number 6
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Acta Pediatr Mex 2010; 31 (6)
Neonatal diabetes mellitus. Long term follow-up of a patient
Jiménez-Uscanga RD, Ordóñez-Gutiérrez EA, Jiménez-Urueta PS, Gómez-Guillermoprieto L
Language: Spanish
References: 9
Page: 274-280
PDF size: 479.65 Kb.
ABSTRACT
Introduction. Neonatal diabetes mellitus, is a genetic disorder associated with alteration in the number or function of pancreatic cells. The average age of diagnosis is six weeks, and before 6 months of age. It’s diagnosis before three months of age justifies the designation of permanent neonatal diabetes (PND). Transient neonatal diabetes (TND) resolves around 12 weeks. We present a patient with neonatal diabetes mellitus followed for several years.
Report of the case. An 11 year old female presented her first symptoms at 28 days of life with hyperthermia, polyuria, dehydration, and ketoacidosis; she was born at 36 weeks gestation; she weighed 2 Kg at birth and 18.11 in height.
Discussion: Neonatal diabetes mellitus, is a genetic disorder associated with a mutation of chromosome 6q24. Transient neonatal diabetes (TND) resolves spontaneously around 12 weeks of age.
Treatment with insulin gives dramatic results in normal growth, over several weeks or months.
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