Diabetic Ketoacidosis, Hypertriglyceridemia and Abdominal Pain due to Acute Pancreatitis Complicated by Non-immune Haemolytic Anaemia

The triad of diabetic ketoacidosis, acute pancreatitis and hypertriglyceridemia is a rare phenomenon, with mortality rates of up to 80%. A unique characteristic of the described case is the co-occurrence of non-immune haemolytic anaemia (NIHA) with the complex triad. It is suggested that this presen...

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Main Authors: Monica Joustra, Janneke Raidt, Florens Droog, Thiemo Veneman
Format: Article
Language:English
Published: SMC MEDIA SRL 2020-12-01
Series:European Journal of Case Reports in Internal Medicine
Subjects:
Online Access:https://www.ejcrim.com/index.php/EJCRIM/article/view/2085
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author Monica Joustra
Janneke Raidt
Florens Droog
Thiemo Veneman
author_facet Monica Joustra
Janneke Raidt
Florens Droog
Thiemo Veneman
author_sort Monica Joustra
collection DOAJ
description The triad of diabetic ketoacidosis, acute pancreatitis and hypertriglyceridemia is a rare phenomenon, with mortality rates of up to 80%. A unique characteristic of the described case is the co-occurrence of non-immune haemolytic anaemia (NIHA) with the complex triad. It is suggested that this presentation is secondary to hyperlipidemia which leads to increased fragility of erythrocytes due to destabilization of red cell membranes. Supportive treatment with intravenous insulin and blood transfusions is the cornerstone of treatment.
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spelling doaj.art-6c5ae12679b04c40a5386b2689165b3b2022-12-21T20:34:32ZengSMC MEDIA SRLEuropean Journal of Case Reports in Internal Medicine2284-25942020-12-0110.12890/2020_0020851701Diabetic Ketoacidosis, Hypertriglyceridemia and Abdominal Pain due to Acute Pancreatitis Complicated by Non-immune Haemolytic AnaemiaMonica Joustra0Janneke Raidt1Florens Droog2Thiemo Veneman3 Department of Internal Medicine, Ziekenhuisgroep Twente (Hospital Group Twente), Almelo, The Netherlands Department of Internal Medicine, Ziekenhuisgroep Twente (Hospital Group Twente), Almelo, The NetherlandsDepartment of Intensive Care Medicine, Ziekenhuisgroep Twente (Hospital Group Twente), Almelo, The NetherlandsDepartment of Intensive Care Medicine, Ziekenhuisgroep Twente (Hospital Group Twente), Almelo, The NetherlandsThe triad of diabetic ketoacidosis, acute pancreatitis and hypertriglyceridemia is a rare phenomenon, with mortality rates of up to 80%. A unique characteristic of the described case is the co-occurrence of non-immune haemolytic anaemia (NIHA) with the complex triad. It is suggested that this presentation is secondary to hyperlipidemia which leads to increased fragility of erythrocytes due to destabilization of red cell membranes. Supportive treatment with intravenous insulin and blood transfusions is the cornerstone of treatment.https://www.ejcrim.com/index.php/EJCRIM/article/view/2085acute pancreatitisdiabetes ketoacidosishypertriglyceridemiahaemolytic anaemia
spellingShingle Monica Joustra
Janneke Raidt
Florens Droog
Thiemo Veneman
Diabetic Ketoacidosis, Hypertriglyceridemia and Abdominal Pain due to Acute Pancreatitis Complicated by Non-immune Haemolytic Anaemia
European Journal of Case Reports in Internal Medicine
acute pancreatitis
diabetes ketoacidosis
hypertriglyceridemia
haemolytic anaemia
title Diabetic Ketoacidosis, Hypertriglyceridemia and Abdominal Pain due to Acute Pancreatitis Complicated by Non-immune Haemolytic Anaemia
title_full Diabetic Ketoacidosis, Hypertriglyceridemia and Abdominal Pain due to Acute Pancreatitis Complicated by Non-immune Haemolytic Anaemia
title_fullStr Diabetic Ketoacidosis, Hypertriglyceridemia and Abdominal Pain due to Acute Pancreatitis Complicated by Non-immune Haemolytic Anaemia
title_full_unstemmed Diabetic Ketoacidosis, Hypertriglyceridemia and Abdominal Pain due to Acute Pancreatitis Complicated by Non-immune Haemolytic Anaemia
title_short Diabetic Ketoacidosis, Hypertriglyceridemia and Abdominal Pain due to Acute Pancreatitis Complicated by Non-immune Haemolytic Anaemia
title_sort diabetic ketoacidosis hypertriglyceridemia and abdominal pain due to acute pancreatitis complicated by non immune haemolytic anaemia
topic acute pancreatitis
diabetes ketoacidosis
hypertriglyceridemia
haemolytic anaemia
url https://www.ejcrim.com/index.php/EJCRIM/article/view/2085
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AT florensdroog diabeticketoacidosishypertriglyceridemiaandabdominalpainduetoacutepancreatitiscomplicatedbynonimmunehaemolyticanaemia
AT thiemoveneman diabeticketoacidosishypertriglyceridemiaandabdominalpainduetoacutepancreatitiscomplicatedbynonimmunehaemolyticanaemia