JOURNAL OF THE CZECH PEDIATRIC SOCIETY AND THE SLOVAK PEDIATRIC SOCIETY

Čes-slov Pediat 2025, 80(90):32-34 | DOI: 10.55095/CSPediatrie2025/049

It's not always just anorexia nervosa

Martina Kulinová
Dětské oddělení, Oblastní nemocnice Mladá Boleslav

An 18-year-old girl was referred by a psychiatrist to pediatric department for examination due to weight loss and for objectifying her condition.

The girl was already known to have celiac disease and hyperthyroidism due to autoimmune thyroid disease. Clear signs of advanced diabetic ketoacidosis were already present upon admission. The examination also considered other serious conditions, particularly Addison's disease or relapse of thyrotoxicosis.

However, she apparently newly manifested type 1 diabetes mellitus with blood glucose 28.5 mmol/l, HbA1c 122 mmol/mol, and pH 6.985. The girl is now on an intensified insulin regimen and remains under the care of the diabetes and endocrine outpatient clinic. The discussion is focused on differential diagnosis of weight loss, and on associated autoimmune conditions.

Keywords: weight loss, associated autoimmune conditions, diabetic ketoacidosis

Accepted: September 23, 2025; Published: September 1, 2025  Show citation

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Kulinová M. It's not always just anorexia nervosa. Ces-slov Pediat. 2025;80(Suppl.3):32-34. doi: 10.55095/CSPediatrie2025/049.
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