European Journal of Biomedical and Pharmaceutical Sciences

SCLERODERMA IN TEENAGE PATIENT WITH TYPE 1 DIABETES MELLITUS: CASE REPORT

Ibrahim Mohamed Al-Abdalla*, Sondos Barjas Harahsheh, Asmaa Monther Al-Quraan,
Yacoub Manhal Haddadin, Amjed Musa Abulannaz, Dina Nasri Abdel Muhsen Al Nawaf'ah,
Kawther Hussni Jamil Al Onezat and Amani Mutlaq Abdullah AL-Rousan

ABSTRACT

Objective: We aim to assess the association between insulin dependent diabetes (type1 DM) and other autoimmune diseases such as scleroderma. Case Report: In our case, a 13-year-old female, known to have type1 DM on mixtard (70/30) insulin injection subcutaneously admitted through emergency department at Queen Rania Hospital for Children due to hyperglycemia and immediate onset of swelling post each injection and generalized skin tightness. Discussion: Due to the skin tightness, the generalized abdominal swelling, and the high blood sugar reading, we thought about scleroderma, so we performed labs and skin biopsy. Conclusion: Every patient with insulin dependent DM must be observed for the associated autoimmune diseases.

Keywords: Scleroderma, skin tightness, skin swelling, insulin injection, hyperglycemia, mixtard insulin.