Rare association of type 1 diabetes, Graves' disease and chronic urticaria in children

Abstract

Introduction: Child's type 1 Diabetes mellitus may be associated with one or more autoimmune diseases. Observation: A 14-year-old girl with a history of chronic urticaria was admitted for unconsciousness and unusual irritability. Admission examination found high blood glucose with glycosuria and acetonuria, a consistent thyroid goiter and exophthalmia. The diagnosis of inaugural diabetic ketosis was retained. The thyroid assessment revealed hyperthyroidism. Cervical ultrasound and scintigraphy were compatible with Graves' disease. The patient was put on Thiamazole and Propranolol. Conclusion: The high frequency of autoimmune diseases during DT1 encourages detection as soon as the disease is discovered.