A 10-year-old girl presented with diabetic ketoacidosis, shock, and severe abdominal pain.
She was found to have acute pancreatitis and acute kidney injury after shock resuscitation
and severe persistent hypertriglyceridemia. The severe hypertriglyceridemia was treated
with 1 course of plasmapheresis, which corrected the triglyceride level and was temporally
associated with improvement of the abdominal pain and renal dysfunction. Diabetes is
known to contribute to an elevated triglyceride level, especially in the setting of an …