A newborn with diabetic ketoacidosis and thalassemia major: A rare case İlyas Yolbaş 1, Velat Şen 2, Hasan Balık 3, Selvi Kelekçi 1, Kenan Haspolat 1, Ünal Uluca 1, İlhan Tan 1 1 - Dicle Üniversitesi Tıp Fakültesi, Çocuk Hastalıkları Anabilim Dalı, Diyarbakır, Türkiye 2 - Çermik Devlet Hastanesi, Diyarbakır, Türkiye 3 - Diyarbakır Çocuk Hastanesi Diyarbakır, Türkiye
Dicle Med J 2012; 39(1):142-144 ICID: 987158
Article type: Case report
IC™ Value: 1.80
Abstract provided by Publisher
Diabetic ketoacidosis is a systemic situation caused by
absolute insulin deficiency and characterized by hyperglycemia,
ketonemia, acidemia, glycosuria and ketonuria.
Thalassemia Major is a very serious hereditary blood
disorder due to low levels or absence of “beta globulin”
chain, characterized by requiring a blood transfusion from
3-4. month of life due to the relatively short life of red cells.
We, herein presented a rare case of 20 day-old newborn
with anemia, hyperglycemia, vomiting, acidosis being diagnosed
as thalassemia major that required blood transfusion
in the early period of life and diabetic ketoacidosis
without ketonuria who born from 24 year old father carrier
of thalassemia and 23-year-old mother with carrier of thalassemia
and gestational diabetes.
The case was presented in order to emphasize that diabetic
ketoacidosis can occur in newborns without ketonuria
and thalassemia major may cause anemia in the early
period of life due to hyperglycemia and acidosis