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Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 SAGE+Open+Med+Case+Rep 2018 ; 6 (ä): ä Nephropedia Template TP
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Old syndrome?new approach: Mauriac syndrome treated with continuous insulin delivery #MMPMID30013788
Kocova M; Milenkova L
SAGE Open Med Case Rep 2018[]; 6 (ä): ä PMID30013788show ga
Mauriac syndrome has rarely been reported in children and adolescents with a poorly controlled diabetes mellitus type 1. However, it still occurs despite the worldwide improvements of metabolic control. The risks have not been elucidated. We present a 13.5-year-old boy with a typical clinical presentation of Mauriac syndrome consisting of growth delay, cushingoid appearance, hepatomegaly, and delayed puberty. A stepwise correction of glycemic control was introduced using continuous insulin delivery. All symptoms improved during the 2.5-year follow-up. No retinopathy occurred. This patient with Mauriac syndrome followed with continuous glucose monitoring and treated with continuous insulin delivery, resulting in no retinopathy after 2.5?years of follow-up. We suggest that this approach should be recommended in patients with Mauriac syndrome.