Volume 13, Issue 4 (2-2000)                   Med J Islam Repub Iran 2000 | Back to browse issues page

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KARAMIZADEH Z, AMIRHAKIMI G, BAGHERI H. MALNUTRITION-RELATED DIABETES MELLITUS IN SOUTHERN IRAN. Med J Islam Repub Iran. 2000; 13 (4) :261-263
URL: http://mjiri.iums.ac.ir/article-1-917-en.html
From the Section of Endocrinology and Metabolism, Dept. of Pediatrics, and the Dept. of Radiology, Shiraz University of Medical Sciences, Shiraz, I R. Iran.
Abstract:   (3200 Views)
Malnutrition-related diabetes mellitus (MRDM) is a major form of secondary diabetes, restricted to tropical developing countries. We studied 200 cases of diabetes mellitus aged 6-18 years in Fars Province to find the prevalence of MRDM. There were 14 cases who had clinical and laboratory findings compatible with MRDM. The mean age at presentation was 8.6±3 years, with a male to female ratio of3:4. Moderate to severe malnutrition was noted in 92.9% of the subjects. Insulin requirement was more than 2 U/kg/day in 85.7% of the patients. 57.2 % of the patients were from poor socioeconomical class (income less than 200,000 rials per month and a family size>7 members). Recurrent abdominal pain, painless bilateral parotid swelling, lower extremity edema, ascites, retinopathy and renal failure were observed in 50%, 21.4%,35.7%, 14.3%, and 7.1 % of the cases, respectively. An abnormal pancreatic ultrasonography was noted in 35.7% of the subjects. Ketoacidosis, regardless of other findings , was seen in 42 % of the patients. Malabsorption, chronic diarrhea and pancreatic calcifications were not observed. Finally, the prevalence of malnutrition-related diabetes mellitus was 7% in the diabetic population of Fars Province.
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Type of Study: Original Research | Subject: Pediatric

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