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Hypertension in Severe Pediatric Diabetic Ketoacidosis: Case Report and Review of Literature

Bin Salleh, Hashim MD; Mujawar, Quais Mohammad MD

doi: 10.1097/PEC.0b013e31827b564e
Illustrative Cases

Abstract: Dehydration from fluid loss secondary to glycosuria is the central pathogenesis of diabetic ketoacidosis (DKA). Decreased oral intake and increased insensible water loss are also common in DKA. Severe dehydration should lead to hypovolemia and hypotension. We present a case of DKA with severe dehydration and hypertension in contrast to expected hypotension. The aim of this article was to increase awareness that pediatric DKA could present with hypertension, and this should be looked at and included in DKA management protocols.

From the Pediatric Emergency Unit, Department of Emergency, College of Medicine, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia.

Disclosure: The authors declare no conflict of interest.

Reprints: Hashim Bin Salleeh, MD, Pediatric Emergency Unit, Department of Emergency, College of Medicine, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia (e-mail: hbinsalleeh@ksu.edu.sa).

© 2013 Lippincott Williams & Wilkins, Inc.