Severe dyslipidaemia in diabetic ketoacidosis in 7-year female child: a rare presentation

The diagnostic criteria for DKA are blood glucose > 200 mg/dl, ketosis and metabolic acidosis [2]. Laboratory parameters in our patient Haemoglobin (gm/dl) TLC × 103 DLC PLT × 105 MCV (FL) MCH (pg/ml) 10.7 10.9 55/46 1.50 88 32 Urea (mg/dl) Creatinine (mg/dl) Bilirubin (mg/dl) ALT (U/L) AST (U/L) ALB (g/dl) 20 0.3 0.65 26 25 3.85 TSH u 1U/ml T4 (ug/dl) T3(ng/ml) 2.62 10.2 1.54 PH Na K HCO3 7.0 133 3.36 2.0 7.43 136 3.5 24.3 TLC Total leucocyte count, DLC Differential leucocyte count, PLT Platelets, MCV Mean corpuscular count, ALT Alanine transaminase, AST Aspartate transaminase Fig. 1 [Images not available. Lipid profile of our patient TGs (mg/dl) LDL (mg/dl) HDL (mg/dl) Cholesterol (mg/dL) D1 1509 212 35 567 D3 1155 182 34 465 D5 850 150 37 300 D7 500 130 40 250 Discharge 300 110 42 200 After 1 month 168 82 45 150 TGs Triglycerides, LDL Low-density lipid, HDL High-density lipid Her liver function test and thyroid profile were normal as shown in Table 1.