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Diabetes Care 28:753-754, 2005
© 2005 by the American Diabetes Association, Inc.

Letters: Observations

Cerebral Edema Without Ketoacidosis or Hyperosmolar Coma in a 16-Year- Old Boy

Ram M. Shastry, MD, Vijayalakshmi Bhatia, MD, Ravi P. Sahu, MSC and Eesh Bhatia, MD, DNB

From the Department of Endocrinology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India

Address correspondence to Vijayalakshmi Bhatia, MD, Department of Endocrinology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow 226014, India. E-mail: vbhatia@sgpgi.ac.in

The first 20% of the full text of this article appears below.

Cerebral edema is a rare, but life- threatening, complication of diabetic ketoacidosis usually occurring during its treatment. There is no documentation of the occurrence of cerebral edema outside the setting of diabetic ketoacidosis (1).

We report a 16-year-old boy who walked into our clinic complaining of limited joint mobility (involving hands, elbows, and knees), poor linear growth, and diminished vision for 2 years. On direct questioning, osmotic symptoms were present for 2 years. There was no personal or family history suggestive of connective tissue disorder. The patient was alert and oriented and able to explain his medical history . He was 147.5 cm tall (height age . . . [Full Text of this Article]


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Copyright © 2005 by the American Diabetes Association.