Case Report

DKA with Severe Hypertriglyceridemia and Cerebral Edema in an Adolescent Boy: A Case Study and Review of the Literature

Table 1

Literature review of pediatric DKA patients with hypertriglyceridemia.

PatientsAge (year)Peak TG (mg/dL)Acute pancreatitisCerebral edemaTreatment with antilipid medicationTime to normalized TG level (days, (TG level))

Cywinski et al., 1965 [14]12.5>1,000YesSuspectedNo7 (232)
Blackett et al., 1986 [6]1314,461NoSuspectedNo7 (122)
Slyper et al., 1994 [15]143,119YesSuspectedNoNA
Kadota-Shinozaki et al., 1997 [16]193,386YesNoNo2 (483)
Hahn et al., 2010 [10]2015,000YesNoNo3 (506)
Williamson et al., 2012 [12]810,852NoNoNo17 (NA)
Lutfi et al., 2012 [11]1016,334YesNo Fenofibrate, plasmapheresis1.5 (1,100)
Kota et al., 2012 [17]121,020YesNoNo3 (340)
Aboulhosn and Arnason, 2013 [13]181,724YesNoNoNA
Wolfgram and Macdonald, 2013 [18]108,300YesNoNoNA

Our case139,810NoYesNo9 (377)

NA, not available.