Abstract
A 12 year old Asian girl with a four year history of poorly controlled insulin dependent diabetes mellitus developed overt diabetic nephropathy. There were no clinical features of Rabson-Mendenhall syndrome. Screening for microalbuminuria would have identified incipient diabetic nephropathy and highlighted the importance of good glycaemic control. Although screening for microalbuminuria is recommended after five years from diagnosis, it may be appropriate to undertake this annually in those with poor glycaemic control.
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Selected References
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- Campbell F. M. Microalbuminuria and nephropathy in insulin dependent diabetes mellitus. Arch Dis Child. 1995 Jul;73(1):4–7. doi: 10.1136/adc.73.1.4. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Coonrod B. A., Ellis D., Becker D. J., Bunker C. H., Kelsey S. F., Lloyd C. E., Drash A. L., Kuller L. H., Orchard T. J. Predictors of microalbuminuria in individuals with IDDM. Pittsburgh Epidemiology of Diabetes Complications Study. Diabetes Care. 1993 Oct;16(10):1376–1383. doi: 10.2337/diacare.16.10.1376. [DOI] [PubMed] [Google Scholar]
- DeClue T. J., Campos A. Diabetic nephropathy in a prepubertal diabetic female. J Pediatr Endocrinol. 1994 Jan-Mar;7(1):43–46. doi: 10.1515/jpem.1994.7.1.43. [DOI] [PubMed] [Google Scholar]
- Quattrin T., Waz W. R., Duffy L. C., Sheldon M. W., Campos S. P., Albini C. H., Feld L. G. Microalbuminuria in an adolescent cohort with insulin-dependent diabetes mellitus. Clin Pediatr (Phila) 1995 Jan;34(1):12–17. doi: 10.1177/000992289503400103. [DOI] [PubMed] [Google Scholar]
- Shield J. P., Hunt L. P., Karachaliou F., Karavanaki K., Baum J. D. Is microalbuminuria progressive? Arch Dis Child. 1995 Dec;73(6):512–514. doi: 10.1136/adc.73.6.512. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Throckmorton D. C., Brogden A. P., Min B., Rasmussen H., Kashgarian M. PDGF and TGF-beta mediate collagen production by mesangial cells exposed to advanced glycosylation end products. Kidney Int. 1995 Jul;48(1):111–117. doi: 10.1038/ki.1995.274. [DOI] [PubMed] [Google Scholar]