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Archive for October, 2013

Bilateral cataracts and insulin oedema in a child with type 1 diabetes mellitus

8 Oct, 13 | by Emma

Well written case report of insulin edema and cataract following intense insulin. The only similar case is by Juliusson[1] but in this latter case cataract was present initially and insulin edema followed insulin therapy.

The current case report offers good discussion allowing students to learn about the pathophysiology of cataract and insulin edema. This unique case is one more example to illustrate the need for a gradual insulin therapy and not intense upfront. This case report is a good addition to the literature.

1 Júlíusson PB, Bjerknes R, Søvik O, et al. [Generalized edema following insulin treatment of newly diagnosed diabetes mellitus]. Tidsskr Nor Laegeforen 2001;121:919-20.

Professor Ahmad M Mansour
American University of Beirut

Bilateral cataracts and insulin oedema in a child with type 1 diabetes mellitus

Germany adopts rare disease strategy

2 Oct, 13 | by Dr Dean Jenkins

Following a three year consultation the German plan Measures to Improve the Health Situation of Persons with Rare Diseases in Germany has been published.

“[it] contains 52 distinct proposals for action. Nationally recognised centres of excellence for diseases or groups of diseases that collaborate nationally and internationally are a cornerstone of the German plan in order to provide patients with the best, targeted care available. Providing current, validated information for professionals and patients, improving diagnostics, and supporting research are other key features of the German plan.”


The plan (currently only available in German) aims to build expertise, networks, and to gain from the experience of people with rare diseases.

One of the categories of report accepted for BMJ Case Reports is “rare diseases” – the aim being to learn from new discoveries and insights. We watch this development of national strategies for rare diseases with great interest.

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