CASE REPORT |
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Year : 2022 | Volume
: 12
| Issue : 1 | Page : 53-55 |
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Steroid-induced diabetes mellitus in children: A case series from Nigeria
Ibironke J Akinola1, Gbenga Akinyosoye2, Adaobi U Solarin1, Motunrayo O Adekunle2
1 Department of Paediatrics and Child Health, Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria; Lagos State University College of Medicine, Ikeja, Lagos, Nigeria 2 Department of Paediatrics and Child Health, Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria
Correspondence Address:
Dr. Ibironke J Akinola Department of Paediatrics and Child Health, Lagos State University Teaching Hospital, Lagos State University College of Medicine, Ikeja, Lagos Nigeria
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/ajem.ajem_3_22
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Steroid-induced diabetes mellitus is rarely reported in the pediatric population. In children, high doses of corticosteroids are often used in the treatment of acute leukemias, lymphomas, connective tissue disorders, and rheumatological disorders. One of the many complications of corticosteroid toxicity is transient hyperglycemia and by extension diabetes mellitus. We describe three cases involving Nigerian children managed in a tertiary center for systemic juvenile idiopathic arthritis, acute leukemia, and nephrotic syndrome. Management necessitated the use of high dose steroids, and the development of diabetes mellitus ensued. One child died from complications of the primary disease. Steroid-induced diabetes can be easily diagnosed in the presence of a high index of suspicion and just as easily missed if the focus is only on the primary condition. |
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