Therefore, we believe the sudden, dramatic and reversible rise in liver enzymes in our
patient occurred due to the combination of GH and IH. This would appear to be an
important complication of poorly controlled diabetes in the setting of DKA.
Author information: Johanna Martin, Paediatric Registrar, Paediatric Department,
Christchurch Public Hospital, Christchurch; Paul Tomlinson, General Paediatrician,
Paediatric Department, Southland Hospital, Invercargill