| CASE REPORT |
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| Year : 2022 | Volume
: 11
| Issue : 2 | Page : 115-118 |
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A rare presentation of type 1 diabetes mellitus: Diabetic ketoacidosis with severe dyslipidaemia and eruptive xanthomas
Ochai Attai Ateko, Yakubu Lawal, Rifkatu Mshelia-Reng, Uchenna Okechukwu Ugwuneji, Ifeanyi Ucha Julius, Felicia Ehusani Anumah
Department of Internal Medicine, College of Health Sciences, University of Abuja, Abuja, Nigeria
Correspondence Address:
Yakubu Lawal
Department of Internal Medicine, College of Health Sciences, University of Abuja, Abuja
Nigeria
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/jcsr.jcsr_44_21
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Diabetic ketoacidosis (DKA) is the most common life-threatening complication of diabetes, especially in type 1 diabetes mellitus (T1DM). Severe dyslipidaemia causing extensive xanthomas is very rarely reported in DKA. We report the case of a 30-year-old male with T1DM who presented with features of ketoacidosis and had extensive eruptive xanthomas. Blood samples drawn on admission showed excessively lipemic serum and marked dyslipidaemia after analysis. The patient was treated with insulin, rehydration and statins with good clinical outcome. The present case highlights the importance of serial monitoring of lipids and early lipid-lowering therapy in DKA presenting with severe dyslipidaemia, especially when occurring with cutaneous symptoms.
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