Pitfalls bei der Diagnose des kongenitalen Hyperinsulinismus: Ein Fallbericht und Übersicht der Literatur

Autor:	Heike Rabe, J. R. Fernandez Alvarez, E. Wilichowski, A. Pekrun
Rok vydání:	2006
Předmět:	Pediatrics medicine.medical_specialty business.industry Insulin medicine.medical_treatment Disease medicine.disease Laboratory results Pediatrics Perinatology and Child Health Congenital hyperinsulinism medicine Random blood glucose Family history Cerebral damage business Hyperinsulinism
Zdroj:	Klinische Pädiatrie. 218:233-236
ISSN:	1439-3824 0300-8630
Popis:	BACKGROUND 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.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::1d8ce5f1c426a6d3e27c9245ba6eb310 https://doi.org/10.1055/s-2005-836772 Zobrazit plný text záznamu