Hypertriglyceridemia-induced acute pancreatitis with diabetic ketoacidosis: A rare presentation of type 1 diabetes mellitus

Prabhat Kumar; Abhishek Sakwariya; Amit Ranjan Sultania; Renu Dabas

doi:10.4103/JLP.JLP_53_17

Journal of Laboratory Physicians, Table of Contents

CC BY-NC-ND 4.0 · J Lab Physicians 2017; 9(04): 329-331
DOI: 10.4103/JLP.JLP_53_17

Case Report

Hypertriglyceridemia-induced acute pancreatitis with diabetic ketoacidosis: A rare presentation of type 1 diabetes mellitus

Prabhat Kumar

Department of Medicine, PGIMER and Dr RML Hospital, New Delhi, India

,

Abhishek Sakwariya

Department of Medicine, PGIMER and Dr RML Hospital, New Delhi, India

,

Amit Ranjan Sultania

Department of Medicine, PGIMER and Dr RML Hospital, New Delhi, India

,

Renu Dabas

Department of Medicine, PGIMER and Dr RML Hospital, New Delhi, India

› Author Affiliations

Abstract

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Abstract

Diabetic ketoacidosis (DKA) is a frequently encountered complication of diabetes mellitus. DKA is an insulin deficit state and results in moderate to severe hypertriglyceridemia (HTG). HTG is the third leading cause of acute pancreatitis (AP) and often goes unnoticed. The triad of DKA, HTG, and AP is rarely seen, and literature on the same is sparse. We report a case of AP which was due to DKA-induced secondary HTG in an adult with previously undiagnosed type 1 diabetes. His HbA1c was significantly raised, and C-peptide level was low, confirming chronic hyperglycemia. He was treated successfully with insulin infusion, intravenous crystalloid, and analgesics.

Key words

Chylomicron - heparin - insulin - plasmapheresis

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References

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