Child abuse suspicion masquerading new onset insulin dependent diabetes mellitus

Ayelet Shles, Pinchas Fainmesser, Alon Eliakim, Dan Nemet

Research output: Contribution to journalArticlepeer-review


The identification and diagnosis of child abuse is a challenging task to the pediatrician. The increased awareness among both the public and medical personnel, while improving attentiveness to this important subject, can sometimes result in misdiagnosing medical conditions, thus causing distress and delay in required treatment. Numerous reports have described conditions mimicking non-accidental injuries; most of these include dermatological findings related to skin diseases, medical conditions causing pathological fractures, and rare diseases with unusual physical findings. We present a case of a 9.5-year-old child in which the workup for a suspected abusive event led to a delay in the diagnosis of insulin dependent diabetes mellitus later presented as diabetic ketoacidosis.

Original languageEnglish
Pages (from-to)823-825
Number of pages3
JournalJournal of Pediatric Endocrinology and Metabolism
Issue number9-10
StatePublished - Oct 2011


  • Child maltreatment
  • Diabetic ketoacidosis


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