Background. - Insulin-dependent diabetes mellitus can be associated to
an auto-immune disease. A similar association may be seen in the neon
ate. Case report. - A one-day-old boy was admitted for ketoacidosis du
e to diabetes mellitus. Investigation showed that he also suffered fro
m an auto-immune enteropathy with several types of autoantibodies, par
ticularly anti-enterocytes antibodies. Immunotherapy was ineffective.
Multi-organ lesions developed subsequently, particularly a pulmonary d
isease responsible for the death at the age of 2 years. Conclusion. -
Physiopathology of this association remains unclear and the report of
further cases should help improve our knowledge.