Severe Hypertriglyceridemia in Diabetic Ketoacidosis Accompanied by Acute Pancreatitis: Case Report

• Published in: Journal of Korean medical science Vol. 25; no. 9; pp. 1375 - 1378
• Main Authors: Hahn, Suk Jae, Park, Jung-hyun, Lee, Jong Ho, Lee, Jun Kyu, Kim, Kyoung-Ah
• Format: Journal Article
• Language: English
• Published: Korea (South) The Korean Academy of Medical Sciences 01.09.2010; 대한의학회
• Subjects: Acute Disease; Case Report; Diabetes Mellitus, Type 1 - complications; Diabetes Mellitus, Type 1 - diagnosis; Diabetes Mellitus, Type 1 - therapy; Diabetic Ketoacidosis - complications; Diabetic Ketoacidosis - diagnosis; Diabetic Ketoacidosis - therapy; Female; Humans; Hypertriglyceridemia - complications; Hypertriglyceridemia - diagnosis; Hypertriglyceridemia - therapy; Insulin - therapeutic use; Pancreatitis - complications; Pancreatitis - diagnosis; Tomography, X-Ray Computed; Young Adult; 의학일반; Diabetic Ketoacidosis; Diabetes Mellitus, Type 1; Acute Pancreatitis; Hypertriglyceridemia
• ISSN: 1011-8934; 1598-6357; 1598-6357
• DOI: 10.3346/jkms.2010.25.9.1375

We report a case of diabetic ketoacidosis (DKA) and hypertriglyceridemia (severely elevated to 15,240 mg/dL) complicated by acute pancreatitis, which was treated successfully with insulin therapy and conservative management. A 20-yr-old woman with a history of type 1 diabetes came to the emergency department 7 months after discontinuing insulin therapy. DKA, severe hypertriglyceridemia and acute pancreatitis were diagnosed, with DKA suspected of contributing to the development of the other conditions. In Korea, two cases of DKA-induced hypertriglyceridemia and 13 cases of hypertriglyceridemia-induced acute pancreatitis have been previously reported separately.