Type 1 Diabetes Mellitus Associated with Autoimmune Thyroid Disease, Celiac Disease and Facial Asymmetry
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Nesibe Akyürek 1 * , Mehmet Emre Atabek 1, Beray Selver Eklioğlu 1, Sevil Arı Yuca 1
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1 Necmettin Erbakan University School of Medicine, Department of Pediatric Endocrinology, Konya, Turkey* Corresponding Author

Abstract

Patients with type 1 diabetes mellitus are at a great risk of developing other autoimmune diseases.Ten -year-old girl was brought to our clinic with complaints of polydipsia, polyuria and weight loss and was diagnosed as diabetic ketoacidosis due to autoimmune type 1 DM. On physical examination, on the left side of her face mild facial asymmetry was noticed. She had the asymmetry since the birth. Elevated thyroid antibodies associated with diffuse goiter and hypothyroidism led to the diagnosis of autoimmune thyroid disease, and elevated antiendomysial antibodies, anti-gliadin antibodies and abnormal intestinal biopsy findings led to the diagnosis of celiac disease . To our knowledge, this is the first report on a child with a combination type 1 diabetes mellitus, autoimmune thyroid disease, celiac disease and facial asymmetry. Further research is clearly required both to study associations between autoimmune diseases and facial asymmetry and the link between autoimmune diseases and facial asymmetry.

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Article Type: Case Report

EUR J GEN MED, 2014, Volume 11, Issue 4, 293-295

https://doi.org/10.15197/sabad.1.11.91

Publication date: 15 Oct 2014

Article Views: 1287

Article Downloads: 1282

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