hrp0098p3-81 | Diabetes and Insulin | ESPE2024

A Case of Stress Hyperglycaemia with Ketoacidosis – Diagnostic Dilemma

Flynn Evelyn , Burke Eleanor , McGrath Niamh

Introduction: Non-diabetic ketoacidosis occurring with hyperglycaemia causes diagnostic dilemma in the emergency department. Biochemistry mimics diabetic ketoacidosis [DKA], the proposed mechanism is ketosis from reduced carbohydrate intake, with stress hyperglycaemia from acute illness.Case Description: A 1 year old boy presented to the emergency department with a short history of fever and reduced oral intake. Initial ...

hrp0098p1-222 | Bone, Growth Plate and Mineral Metabolism 3 | ESPE2024

Expanding the clinical phenotype of PKDCC Rhizomelic Skeletal Dysplasia – A Case Report and literature review

Burke Eleanor , O'Donovan Donough , Green Andrew , McGrath Niamh

Introduction: PKDCC gene mutation was first described in 2017, with ten patients described in the literature to date. It is associated with rhizomelic skeletal dysplasia, short stature, characteristic facial features of flat high forehead, hypertelorism, micrognathia and in some cases hearing loss. The clinical phenotype is expanding as confirmed cases emerge.Case Description: We present two brothers born to non-consangu...

hrp0098p3-105 | Fat, Metabolism and Obesity | ESPE2024

A rare case of Sitosterolaemia in a paediatric patient presenting with multiple xanthomas

Burke Eleanor , Fitzgerald Aoife , Gounden Verena , Griffin Damian , McGrath Niamh

Introduction: Sitosterolaemia, is a rare autosomal recessively inherited condition. The incidence in the literature varies hugely between 1/200,000 and 1 in one million. Its incidence is likely underestimated as it is commonly misdiagnosed as familial hypercholesterolaemia. Sitosterolaemia tends to present earlier, with xanthomas, joint pains and very high total cholesterol and LDL. Routine lipid testing does not include specific testing for plant sterols. Onc...