The diagnosis of persistent DM in the context of acute pancreatitis (AP) in pediatric age is extremely rare. We present the clinical case of a 16-year-old obese boy admitted in the Emergency Department due to intense epigastric abdominal pain. Laboratory findings and imaging exams helped establishing the acute necrohemorrhagic pancreatitis diagnosis. The clinical evolution was favorable, although persistent hyperglicemia was documented. The patient is now on a regimen of multiple insulin administrations with a globally controlled glycemic profile. Although AP is an uncommon cause of persistent DM in pediatric disease spectrum, we must be aware of the existence of this clinical association to better understand and manage our patients.
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