Dergiler / The Journal of Pediatric Research / 2021 / Cilt: 8 - Sayı: 4

A Rare Complication of Insulin Therapy in a Child with Newly Diagnosed Type 1 Diabetes: Insulin Edema

Sayfa
506–509
DOI
—
🏛️Bu makalenin bibliyografik verileri ve tam metin bağlantısı DergiPark üzerinden sağlanmıştır.
DergiPark Kaydı ↗
✨

Yapay Zeka Hızlı Bakış & Çıkarımlar

AI Insight
⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

In conclusion, it should be kept in mind that there is a possibility of the development of insulin edema after the initiation of insulin therapy in patients with diabetes.

📌 3 Maddede Bu Makale

🎯
Amaç & Hipotez:Although insulin therapy has a critical role in the management of patients with type 1 diabetes, it may cause various side effects at varying rates.
📊
Temel Bulgular & Veri:Here, we present a 10-year-old male with type 1 diabetes who developed insulin edema following insulin therapy and improved spontaneously with fluid/salt restriction.
💡
Sonuç & Katkı:In conclusion, it should be kept in mind that there is a possibility of the development of insulin edema after the initiation of insulin therapy in patients with diabetes.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Özet

Although insulin therapy has a critical role in the management of patients with type 1 diabetes, it may cause various side effects at varying rates. Insulin edema is a very rare complication that is mostly associated with the initiation of insulin therapy in patients with newly diagnosed diabetes or the intensification of insulin therapy in those with poor glycemic control. Its clinical spectrum ranges from mild peripheral edema to severe serosal effusions (peritoneal, pleural and pericardial) and heart failure. Although it has been known about for a long time, only a small number of cases have been reported on so far and its incidence is not clear. Additionally, most cases are thought to be undiagnosed due to its mild clinical presentation. Here, we present a 10-year-old male with type 1 diabetes who developed insulin edema following insulin therapy and improved spontaneously with fluid/salt restriction. In conclusion, it should be kept in mind that there is a possibility of the development of insulin edema after the initiation of insulin therapy in patients with diabetes.

🔖

Bu Makaleye Atıf Yap

ACAR, S., NALBANTOĞLU, Ö., KIRKGÖZ, T., ÖZKAYA, B., ERKAN, Ö., ÖZKAN, B. (2021). A Rare Complication of Insulin Therapy in a Child with Newly Diagnosed Type 1 Diabetes: Insulin Edema. The Journal of Pediatric Research, Cilt: 8 - Sayı: 4, 506–509. https://ajindex.com/articles/362709

📄 Tam Metin PDF Okuyucu

📄

PDF görüntüleyici hazırlanıyor...

Kaynakça (12)

  1. Aravamudhan A, Gardner C, Smith C, Senniappan S. Insulin oedema in a child with newly diagnosed diabetes mellitus. Eur J Pediatr 2014; 173:685-7
  2. Leifer A. A case of insulin oedema. JAMA 1928; 90:610-1
  3. Chelliah A, Burge MR. Insulin edema in the twenty-first century: review of the existing literature. J Investig Med 2004; 52:104-8
  4. Baş VN, Çetinkaya S, Ağladıoğlu SY, et al. Insulin oedema in newly diagnosed type 1 diabetes mellitus. J Clin Res Pediatr Endocrinol 2010; 2:46-8
  5. Mamoulakis D, Bitsori M, Galanakis E, Raissaki M, Kalmanti M. Insulin-induced oedema in children and adolescents. J Paediatr Child Health 2006; 42:655-7
  6. Greco D. Severe weight gain and generalized insulin edema after the starting of an insulin pump. Can J Diabetes 2015; 39:21-3
  7. Lee P, Kinsella J, Borkman M, Carter J. Bilateral pleural effusions, ascites, and facial and peripheral oedema in a 19-year-old woman 2 weeks following commencement of insulin lispro and detemir--an unusual presentation of insulin oedema. Diabet Med 2007; 24:1282-5
  8. Derya Bulus A, Andiran N, Osman Köksal A. Insulin edema in type 1 diabetes mellitus: report of a case and brief review of the literature. Iran J Pediatr 2016; 26:e5077. doi: 10.5812/ijp.5077 9. Sheehan JP, Sisam DA, Schumacher OP. Insulin-induced cardiac failure. Am J Med 1985; 79:147-8
  9. DeFronzo RA, Cooke CR, Andres R, Faloona GR, Davis PJ. The effect of insulin on renal handling of sodium, potassium, calcium, and phosphate in man. J Clin Invest 1975; 55:845-55
  10. Kalambokis G, Tsatsoulis A, Economou G, Tsianos EV. A case of insulin edema with inappropriate hyperaldosteronism. J Endocrinol Invest 2004; 27:957-60
  11. O’Hare JA, Ferriss JB, Twomey B, O’Sullivan DJ. Poor metabolic control, hypertension and microangiopathy independently increase the transcapillary escape rate of albumin in diabetes. Diabetologia 1983; 25:260-3
  12. Haastrup MB, Henriksen JE, Mortz CG, Bindslev-Jensen C. Insulin allergy can be successfully managed by a systematic approach. Clin Transl Allergy 2018; 8:35.