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Scientific paper - Case study
Šećerna bolest tipa 2 u 11-godišnjeg dječaka – prikaz slučaja
Medicina Fluminensis : Medicina Fluminensis, 60 (2024), 1; 114-120. https://doi.org/10.21860/medflum2024_313702
Jugovac, Petra; Butorac Ahel, Ivona; Baraba Dekanić, Kristina; Palčevski, Goran

Institutional repository: Repository of the University of Rijeka, Faculty of Medicine

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Jugovac, P., Butorac Ahel, I., Baraba Dekanić, K. & Palčevski, G. (2024). Šećerna bolest tipa 2 u 11-godišnjeg dječaka – prikaz slučaja. Medicina Fluminensis : Medicina Fluminensis, 60. (1), 114-120. doi: 10.21860/medflum2024_313702

Jugovac, Petra, et al. "Šećerna bolest tipa 2 u 11-godišnjeg dječaka – prikaz slučaja." Medicina Fluminensis : Medicina Fluminensis, vol. 60, no. 1, 2024, pp. 114-120. https://doi.org/10.21860/medflum2024_313702

Jugovac, Petra, Ivona Butorac Ahel, Kristina Baraba Dekanić and Goran Palčevski. "Šećerna bolest tipa 2 u 11-godišnjeg dječaka – prikaz slučaja." Medicina Fluminensis : Medicina Fluminensis 60, no. 1 (2024): 114-120. https://doi.org/10.21860/medflum2024_313702

Jugovac, P., et al. (2024) 'Šećerna bolest tipa 2 u 11-godišnjeg dječaka – prikaz slučaja', Medicina Fluminensis : Medicina Fluminensis, 60(1), pp. 114-120. doi: 10.21860/medflum2024_313702

Jugovac P, Butorac Ahel I, Baraba Dekanić K, Palčevski G. Šećerna bolest tipa 2 u 11-godišnjeg dječaka – prikaz slučaja. Medicina Fluminensis : Medicina Fluminensis [Internet]. 2024 March 01 [cited 2024 May 04];60(1):114-120. doi: 10.21860/medflum2024_313702

P. Jugovac, I. Butorac Ahel, K. Baraba Dekanić and G. Palčevski, "Šećerna bolest tipa 2 u 11-godišnjeg dječaka – prikaz slučaja", Medicina Fluminensis : Medicina Fluminensis, vol. 60, no. 1, pp. 114-120, March 2024. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:184:166619. [Accessed: 04 May 2024]

Metadata
Title (croatian)Šećerna bolest tipa 2 u 11-godišnjeg dječaka – prikaz slučaja
Title (english)Type 2 Diabetes Mellitus in 11-Year-Old Boy - a Case Report
AuthorPetra Jugovac
AuthorIvona Butorac Ahel
AuthorKristina Baraba Dekanić
AuthorGoran Palčevski
Author's institutionUniversity of Rijeka
Faculty of Medicine
(Department of Pediatrics)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Abstract (croatian)
Cilj: Prikazati jedanaestogodišnjeg bolesnika sa šećernom bolešću tipa 2 s ciljem podizanja svijesti o porastu incidencije šećerne bolesti tipa 2 u pedijatrijskoj populaciji. Prikaz slučaja: Tijekom neurološke obrade devetogodišnjeg dječaka ustanovljeno je da je dječak preuhranjen i ima akantozu na vratu. Laboratorijskim pretragama utvrđeni su povišeni jetreni enzimi, a ultrazvučnim pregledom abdomena difuzno ehogenija jetra homogenih odjeka. Iz obiteljske anamneze saznalo se da oba roditelja boluju od šećerne bolesti tipa, a sestra je tijekom trudnoće imala gestacijski dijabetes. Tek dvije godine kasnije, dječak dolazi na pregled kod gastroenterologa zbog povišenih vrijednosti aktivnosti jetrenih enzima. Zbog pretilosti je upućen endokrinologu. Nakon učinjenih laboratorijskih pretraga zaprima se zbog novootkrivene šećerne bolesti - glukoza u krvi natašte je bila povišena (11,3 mmol/L), kao i glikozilirani hemoglobin (HbA1c) (9,3 %). Negirali su simptome poliurije, polidipsije i gubitak na tjelesnoj masi. Na temelju dobi, pretilosti, akantoze i pozitivne obiteljske anamneze postavljenja je dijagnoza šećerne bolesti tipa 2. Naknadno pristigla negativna protutijela na šećernu bolest tipa 2 - ICA (engl. Islet cell antibodies), GAD (engl. glutamic acid decarboxylase) i IA2 (engl. Islet antigen 2), potvrdila su dijagnozu šećerne bolesti tipa 2. Tijekom hospitalizacije utvrđene su hipertrigliceridemija i hipertenzija. Uvedena mu je terapija metforminom te su dječak i roditelji educirani o važnosti promjene načina života - o balansiranoj prehrani i svakodnevnoj tjelesnoj aktivnosti. Metabolička kontrola bolesti je loša, a na kontrole dolazi neredovito. Zaključak: Diferencijalno-dijagnostički o šećernoj bolesti tipa 2 treba razmišljati u one djece i adolescenata s dijabetesom koja su pretila i imaju pozitivnu obiteljsku anamnezu na šećernu bolest tipa 2. Pri postavljanju dijagnoze šećerne bolesti tipa 2 od pomoći može biti činjenica da ovi bolesnici u trenutku postavljanja dijagnoze obično već imaju jedan ili više komorbiditeta.
Abstract (english)
Aim: To present a patient with a diagnosis of Type 2 diabetes mellitus (T2DM) in childhood and to raise awareness of the increasing incidence of T2DM in the pediatric population and the importance of early detection and treatment. Case report: During the neurological treatment of a nine-year-old boy, it was found that the boy was overfed and had acanthosis on the neck. Laboratory tests revealed elevated liver enzymes, and ultrasound examination of the abdomen revealed diffuse echogenicity of the liver with homogeneous echoes. From the family history, it was learned that both parents suffer from T2DM, and the sister had gestational diabetes during pregnancy. Only two years later, the boy comes to see a gastroenterologist because of elevated liver enzymes. Due to obesity, he was referred to an endocrinologist. According to laboratory tests, he was admitted for newly diagnosed diabetes - fasting blood glucose was elevated (11.3 mmol/L) as well as glycosylated hemoglobin (HbA1c) (9.3%). They denied symptoms of polyuria, polydipsia and weight loss. Based on age, obesity, acanthosis and positive family history, a diagnosis of T2DM was made. Negative antibodies to T1DM - ICA (Islet cell antibodies), GAD (glutamic acid decarboxylase), IA2 (Islet antigen 2) - confirmed the diagnosis of T2DM. During hospitalization, hypertriglyceridemia and hypertension were diagnosed. Metformin therapy was introduced and the boy and his parents were educated about the importance of lifestyle changes, a balanced diet and daily physical activity. Metabolic control of the disease is poor, and check-ups are irregular. Conclusion: The differential diagnosis of T2DM should be considered in those children and adolescents with diabetes who are obese and have a positive family history of T2DM. The fact that these patients usually already have one or more comorbidities at the time of diagnosis can be helpful in making a diagnosis of T2DM.
Keywords (croatian)
Keywords (english)
Languagecroatian
Languageenglish
Publication typeScientific paper - Case study
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleMedicina Fluminensis : Medicina Fluminensis
Numberingvol. 60, no. 1, pp. 114-120
p-ISSN1847-6864
e-ISSN1848-820X
DOIhttps://doi.org/10.21860/medflum2024_313702
URN:NBNurn:nbn:hr:184:166619
Publication2024-03-01
Document URLhttps://hrcak.srce.hr/313702
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution 4.0 International (CC BY 4.0) icon
Created on2024-03-01 08:13:48