https://gastroenterology.acponline.org/archives/2022/09/23/7.htm

Glycogenic hepatopathy

A 21-year-old man with type 1 diabetes presented to the hospital with nausea, vomiting, and abdominal pain. Physical exam showed hepatosplenomegaly.


A recent Brief Case reviewed the case of a 21-year-old man with type 1 diabetes who presented to the hospital with nausea, vomiting, and abdominal pain and was admitted for diabetic ketoacidosis. Vitals on admission were within normal limits; physical exam showed hepatosplenomegaly.

The diagnosis was glycogenic hepatopathy, a rare but underreported complication of poorly controlled diabetes, most commonly type 1. The case was published Aug. 24 by ACP Hospitalist.