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  • Title: [Etiologic diagnosis of hypoglycemia in children].
    Author: de Parscau L, Guibaud P.
    Journal: Pediatrie; 1990; 45(3):165-71. PubMed ID: 2160640.
    Abstract:
    When the etiology of an hypoglycemia is not easily recognizable, the diagnosis can be guided by 2 signs: hepatomegaly and ketosis. If an hepatomegaly is present, an abnormality of glycogen metabolism or neoglucogenesis or an hereditary fructose intolerance may be suspected. A hypoketotic hypoglycemia suggests a hyperinsulinism or an impaired fatty acid oxydation. If the liver is normal and ketosis is normal or increased, an abnormality of branched amino acid metabolism or a ketotic hypoglycemia may be evoked.
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