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Pitfalls in the diagnosis of congenital hyperinsulinism: a case report and review of the literature
journal contribution
posted on 2023-06-10, 04:55 authored by J R F Alvarez, Heike RabeHeike Rabe, E Wilichowski, A PekrunBackground: Congenital hyperinsulinism is the most common cause for recurrent hypoglycaemia in neonates and infants. Uncontrolled hypoglycaemia leads to seizures and long-term cerebral damage. Often, the diagnosis is delayed because of nonspecific symptoms and confusing laboratory results. Patient: We report a patient with hyperinsulinism who was initially wrongly diagnosed as having idiopathic cerebral convulsions and treated accordingly. Conclusions: Diagnosis of congenital hyperinsulinism is based on a strong suspicion and a thorough family history. Normal random blood glucose or random insulin levels are not helpful in excluding this disease.
History
Publication status
- Published
Journal
Klinische PadiatrieISSN
0300-8630Publisher
Georg Thieme Verlag KGExternal DOI
Issue
4Volume
218Page range
233-236Event location
GermanyDepartment affiliated with
- Clinical and Experimental Medicine Publications
Full text available
- No
Peer reviewed?
- Yes
Legacy Posted Date
2022-09-30Usage metrics
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