Case Report: Case analysis of a juvenile type 1 diabetes mellitus patient with Mauriac syndrome - Takeaways - MDSpire

Case Report: Case analysis of a juvenile type 1 diabetes mellitus patient with Mauriac syndrome

  • By

  • Rong Fu

  • Mengmeng Yang

  • Yanyan Guo

  • Yiyun Huang

  • Xiaoze Li

  • Mingying Zhang

  • July 15, 2026

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  • 1

    A 14-year-old female with type 1 diabetes presented with abdominal pain and vomiting, exhibiting poor insulin adherence and recurrent diabetic ketoacidosis.

  • 2

    Diagnostic tests confirmed diabetic ketoacidosis, glycogenic hepatopathy, and Mauriac syndrome, with abnormal liver function and elevated lactate levels.

  • 3

    The patient underwent continuous intravenous insulin therapy and diabetes education, later transitioning to a subcutaneous insulin regimen.

  • 4

    Despite treatment, the patient was readmitted two months later for diabetic ketoacidosis, with persistent hepatomegaly and tenderness.

  • 5

    Mauriac syndrome, a rare complication of poorly managed type 1 diabetes, requires comprehensive diagnostic and treatment strategies to address multisystem involvement.

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