Clinical and Experimental Pediatrics

대한소아청소년과학회 (The Korean Pediatric Society)
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Hepatic glycogenosis in type 1 diabetes mellitus mimicking Mauriac syndrome

  • Jung, In Ah (Department of Pediatrics, The Catholic University of Korea College of Medicine) ;
  • Cho, Won Kyoung (Department of Pediatrics, The Catholic University of Korea College of Medicine) ;
  • Jeon, Yeon Jin (Department of Pediatrics, The Catholic University of Korea College of Medicine) ;
  • Kim, Shin Hee (Department of Pediatrics, The Catholic University of Korea College of Medicine) ;
  • Cho, Kyoung Soon (Department of Pediatrics, The Catholic University of Korea College of Medicine) ;
  • Park, So Hyun (Department of Pediatrics, The Catholic University of Korea College of Medicine) ;
  • Jung, Min Ho (Department of Pediatrics, The Catholic University of Korea College of Medicine) ;
  • Suh, Byung-Kyu (Department of Pediatrics, The Catholic University of Korea College of Medicine)
  • 투고 : 2014.09.12
  • 심사 : 2015.01.05
  • 발행 : 2015.06.10
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초록

Hepatic glycogenosis in type 1 diabetes mellitus (DM) can be caused by poor glycemic control due to insulin deficiency, excessive insulin treatment for diabetic ketoacidosis, or excessive glucose administration to control hypoglycemia. Mauriac syndrome, which is characterized by hepatomegaly due to hepatic glycogenosis, growth retardation, delayed puberty, and Cushingoid features, is a rare diabetic complication. We report a case of hepatic glycogenosis mimicking Mauriac syndrome. A 14-year-old girl with poorly controlled type 1 DM was admitted to The Catholic University of Korea, Seoul St. Mary's Hospital for abdominal pain and distension. Physical examination revealed hepatomegaly and a Cushingoid face. The growth rate of the patient had decreased, and she had not yet experienced menarche. Laboratory findings revealed elevated liver enzyme levels. A liver biopsy confirmed hepatic glycogenosis. Continuous glucose monitoring showed hyperglycemia after meals and frequent hypoglycemia before meals. To control hyperglycemia, we increased insulin dosage by using an insulin pump. In addition, we prescribed uncooked cornstarch to prevent hypoglycemia. After strict blood glucose control, the patient's liver functions and size normalized. The patient subsequently underwent menarche. Hepatic glycogenosis is a complication of type 1 DM that is reversible with appropriate glycemic control.

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참고문헌

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피인용 문헌

  1. Focal Hepatic Glycogenosis in a Patient With Uncontrolled Diabetes Mellitus Type 1 vol.42, pp.2, 2015, https://doi.org/10.1097/rct.0000000000000673
  2. Clinical case conundrum: Hyperlactataemia in a case of type 1 diabetes with chronic hyperglycaemia vol.38, pp.10, 2015, https://doi.org/10.1111/dme.14629