Skip to main content

Advertising Disclaimer »

Main menu

  • Journals
    • Pediatrics
    • Hospital Pediatrics
    • Pediatrics in Review
    • NeoReviews
    • AAP Grand Rounds
    • AAP News
  • Authors
    • Submit Manuscript
    • Author Guidelines
  • Content
    • Current Issue
    • Complete Issue PDF
    • Archive
    • Topic/Program Collections
    • Blog
  • Multimedia
    • Teaching Slides
    • Pediatrics On Call Podcast
  • CME/MOC
    • CME Quizzes
    • MOC Claiming
  • Subscribe
  • Alerts
  • Careers
  • Other Publications
    • American Academy of Pediatrics

User menu

  • Log in

Search

  • Advanced search
American Academy of Pediatrics

AAP Gateway

Advanced Search

AAP Logo

  • Log in
  • Journals
    • Pediatrics
    • Hospital Pediatrics
    • Pediatrics in Review
    • NeoReviews
    • AAP Grand Rounds
    • AAP News
  • Authors
    • Submit Manuscript
    • Author Guidelines
  • Content
    • Current Issue
    • Complete Issue PDF
    • Archive
    • Topic/Program Collections
    • Blog
  • Multimedia
    • Teaching Slides
    • Pediatrics On Call Podcast
  • CME/MOC
    • CME Quizzes
    • MOC Claiming
  • Subscribe
  • Alerts
  • Careers
American Academy of Pediatrics
Index of Suspicion

Case 2: Generalized Anasarca in 15-year-old Girl With Type 1 Diabetes Mellitus

William T. Myers, Kupper A. Wintergerst, Suzanne E. Kingery and Michael B. Foster
Pediatrics in Review February 2016, 37 (2) 81-82; DOI: https://doi.org/10.1542/pir.2015-0088
William T. Myers
*Department of Pediatrics University of Louisville, Louisville, KY.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Kupper A. Wintergerst
*Department of Pediatrics University of Louisville, Louisville, KY.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Suzanne E. Kingery
*Department of Pediatrics University of Louisville, Louisville, KY.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Michael B. Foster
*Department of Pediatrics University of Louisville, Louisville, KY.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Info & Metrics
  • Comments
Loading

This article requires a subscription to view the full text. If you have a subscription you may use the login form below to view the article. Access to this article can also be purchased.

Download PDF
  1. William T. Myers, MD*
  2. Kupper A. Wintergerst, MD*
  3. Suzanne E. Kingery, MD*
  4. Michael B. Foster, MD*
  1. *Department of Pediatrics University of Louisville, Louisville, KY.
  • AUTHOR DISCLOSURE

    Drs Myers, Kingery, and Foster have disclosed no financial relationships relevant to this article. Dr Wintergerst has disclosed that he serves as principal investigator for the NNPI/Norditropin National Registry Program, Novo Nordisk Pharmaceuticals, Inc; Genesis Registry Program, Eli Lilly, Inc; Sitagliptin Trials, Type 2 Diabetes, Merck & Co, Inc; and Alpha-1-antitrypsin trial, Type 1 Diabetes, Grifols Therapeutics, Inc. Dr Wintergerst also serves on the clinical advisory board of Tandem, Inc. This commentary does not contain a discussion of an unapproved/investigative use of a commercial product/device.

Presentation

A 15-year-old girl with a history of poorly controlled type 1 diabetes mellitus presents to the emergency department with a 4-day history of generalized swelling. She initially noticed bilateral lower extremity edema and right-sided facial swelling that subsequently progressed to include both sides of her face, her abdomen, pelvis, and labia. She also reports a 9-lb (3.54-kg) weight gain. She denies pain, fever, vomiting, loose stools, chest pain, or shortness of breath. Current medications include insulin glargine and insulin aspart. She has only become compliant with this therapy in the past week.

On physical examination, the teen’s weight is 51 kg (41st percentile), height is 155 cm (13th percentile), and body mass index is 20.1 (54th percentile). Her vital signs are within normal limits. She is in no acute distress. She has mild facial edema, moderate abdominal distention without …

Individual Login

Log in
You will be redirected to aap.org to login or to create your account.

Institutional Login

via Institution

You may be able to gain access using your login credentials for your institution. Contact your librarian or administrator if you do not have a username and password.

Log in through your institution

If your organization uses OpenAthens, you can log in using your OpenAthens username and password. To check if your institution is supported, please see this list. Contact your library for more details.

Pay Per Article - You may access this article (from the computer you are currently using) for 2 days for US$25.00

Regain Access - You can regain access to a recent Pay per Article purchase if your access period has not yet expired.

Offer Reprints

PreviousNext
Back to top

Advertising Disclaimer »

In this issue

Pediatrics in Review: 37 (2)
Pediatrics in Review
Vol. 37, Issue 2
1 Feb 2016
  • Table of Contents
  • Table of Contents (PDF)
  • About the Cover
  • Index by author
  • Complete Issue (PDF)
View this article with LENS
PreviousNext
Email Article

Thank you for your interest in spreading the word on American Academy of Pediatrics.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Case 2: Generalized Anasarca in 15-year-old Girl With Type 1 Diabetes Mellitus
(Your Name) has sent you a message from American Academy of Pediatrics
(Your Name) thought you would like to see the American Academy of Pediatrics web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Request Permissions
Article Alerts
Log in
You will be redirected to aap.org to login or to create your account.
Or Sign In to Email Alerts with your Email Address
Citation Tools
Case 2: Generalized Anasarca in 15-year-old Girl With Type 1 Diabetes Mellitus
William T. Myers, Kupper A. Wintergerst, Suzanne E. Kingery, Michael B. Foster
Pediatrics in Review Feb 2016, 37 (2) 81-82; DOI: 10.1542/pir.2015-0088

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Case 2: Generalized Anasarca in 15-year-old Girl With Type 1 Diabetes Mellitus
William T. Myers, Kupper A. Wintergerst, Suzanne E. Kingery, Michael B. Foster
Pediatrics in Review Feb 2016, 37 (2) 81-82; DOI: 10.1542/pir.2015-0088
del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo
Print
Download PDF
Insight Alerts
  • Table of Contents

Jump to section

  • Article
    • Presentation
    • Discussion
    • Suggested Readings
  • Info & Metrics
  • Comments

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • No citing articles found.
  • Google Scholar

More in this TOC Section

  • Sudden Unilateral Vision Loss in a Teenage Girl
  • A Teenage Boy with Right Forehead Swelling Following Trauma to the Head
  • Tachypnea and Epistaxis in a Full-term Infant
Show more Index of Suspicion

Similar Articles

Subjects

  • Hospital Medicine
    • Hospital Medicine
  • Nephrology
    • Nephrology
  • Endocrinology
    • Diabetes Mellitus
    • Endocrinology
  • Journal Info
  • Editorial Board
  • ABP Content Specifications Map
  • Overview
  • Licensing Information
  • Authors
  • Author Guidelines
  • Submit My Manuscript
  • Librarians
  • Institutional Subscriptions
  • Usage Stats
  • Support
  • Contact Us
  • Subscribe
  • Resources
  • Media Kit
  • About
  • International Access
  • Terms of Use
  • Privacy Statement
  • FAQ
  • AAP.org
  • shopAAP
  • Follow American Academy of Pediatrics on Instagram
  • Visit American Academy of Pediatrics on Facebook
  • Follow American Academy of Pediatrics on Twitter
  • Follow American Academy of Pediatrics on Youtube
American Academy of Pediatrics

© 2021 American Academy of Pediatrics