Abstract

Severe hypertriglyceridemia can complicate diabetic ketoacidosis but is rarely reported in the pediatric population. The recognition of this entity is important for proper management and to prevent associated morbidities. We report a 6-year-old girl with new onset type 1 diabetes mellitus, who presented with diabetic ketoacidosis and hyperlipidemia. In addition to treatment with intravenous insulin, plasmapheresis was performed for management of hypertriglyceridemia. We intend to demonstrate the applicability of this technique in the presence of extremely high serum triglyceridemic levels, as primary prevention of hypertriglyceridemia complications.

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