Isolated ACTH deficiency. Metabolic and endocrine studies in a 7-year-old boy.

Autor: Aynsley-Green, A, Moncrieff, M W, Ratter, S, Benedict, C R, Storrs, C N
Zdroj: Archives of Disease in Childhood; Apr1978, Vol. 53 Issue 6, p499-502, 4p
Abstrakt: Metabolic and endocrine studies on a 7-year-old boy who presented with hypoglycaemic convulsions are reported in detail, proving the diagnosis of isolated ACTH deficiency--a rare cause of hypoglycaemia in childhood. Adrenaline secretion during insulin-induced hypoglycaemia was reduced. Low blood alanine levels occurred during starvation-induced hypoglycaemia, together with raised total blood ketone bodies; blood glucose did not increase adequately after oral alanine at this time. Hypoglycaemia in isolated ACTH deficiency appears to be due to a combination of impaired alanine mobilisation and a decreased rate of gluconeogenesis. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index