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Sudden Unexpected Death in Childhood Due to Unsuspected Diabetes Mellitus

Rozin Leon M.D.; Perper, Joshua A. M.D., LL.B., M.SC.; Jaffe, Ronald M.D.; Drash, Allan M.D.
The American Journal of Forensic Medicine and Pathology: September 1994
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We report the case of an otherwise healthy 11-year-old girl who died suddenly of previously undiagnosed diabetes mellitus type I, following a 2-day minor upper respiratory infection. Insulin dependent diabetes mellitus (IDDM) is a rare cause of sudden death of apparently healthy children. This report demonstrates a recommended diagnostic pathway for IDDM from the substantiation of vesicular fatty liver to specific pancreatic histological and histochemical changes.

© Lippincott-Raven Publishers.