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CASE REPORT
Year : 2022  |  Volume : 12  |  Issue : 1  |  Page : 53-55

Steroid-induced diabetes mellitus in children: A case series from Nigeria


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
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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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