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  • Title: [Pitfalls in the diagnosis of congenital hyperinsulinism: a case report and review of the literature].
    Author: Fernandez Alvarez JR, Rabe H, Wilichowski E, Pekrun A.
    Journal: Klin Padiatr; 2006; 218(4):233-6. PubMed ID: 16819706.
    Abstract:
    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.
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