Publication:
Persistent Hyperinsulinemic Hypoglycemia in Infancy-A Case Report

creativeworkseries.issnISSN 1990-7974 eISSN 1990-7982
dc.contributor.authorRajan, Nishanth
dc.contributor.authorKalpana, Jamuna
dc.contributor.authorGopi, Sundaramoorthy
dc.contributor.authorMohan, Vishwanathan
dc.contributor.authorRadha, Venkatesan
dc.contributor.authorKrishnan, Lalitha
dc.date.accessioned2025-12-17T06:06:07Z
dc.date.available2025-12-17T06:06:07Z
dc.date.issued2021
dc.descriptionNishanth Rajan Department of Paediatrics, Pondicherry Institute of Medical Sciences, Puducherry, India Jamuna Kalpana Department of Molecular Genetics, Madras Diabetes Research Foundation, Chennai, India Sundaramoorthy Gopi Department of Molecular Genetics, Madras Diabetes Research Foundation, Chennai, India Vishwanathan Mohan Department of Molecular Genetics, Madras Diabetes Research Foundation, Chennai, India and Dr. Mohan's Diabetes Specialities Centre, Chennai, India Venkatesan Radha Department of Molecular Genetics, Madras Diabetes Research Foundation, Chennai, India Lalitha Krishnan Department of Paediatrics, Pondicherry Institute of Medical Sciences, Puducherry, India
dc.description.abstractAbstract: Persistent hyperinsulinemic hypoglycemia of infancy (PHHI) is one of the commonest reasons for severe, intractable hypoglycemia in neonates. Dysregulated insulin secretion is the major underlying pathogenesis which results in hyperinsulinemia, hypoketonemia and hypofatty acidemia. The management is extremely complicated. Early diagnosis and aggressive management of hyperinsulinemic hypoglycemia is essential for prevention of hypoglycemia induced neuronal injury. Here we describe a baby diagnosed as PHHI who was unresponsive to medical management with diazoxide and underwent near total pancreatectomy. Genetic work up revealed a homozygous termination mutation in ABCC8 gene at amino acid position 1452 with heterozygosity in both parents.
dc.identifierhttps://doi.org/10.3126/jnps.v41i1.30806
dc.identifier.urihttps://hdl.handle.net/20.500.14572/3658
dc.language.isoen_US
dc.publisherNepal Paediatric Society (JNPS)
dc.subjectABCC8 mutation
dc.subjectDiazoxide
dc.subjectHypoglycemia
dc.subjectHyperinsulinemia
dc.titlePersistent Hyperinsulinemic Hypoglycemia in Infancy-A Case Report
dc.typeArticle
dspace.entity.typePublication
local.article.typeCase Report
oaire.citation.endPage110
oaire.citation.startPage107
relation.isJournalIssueOfPublication6de7ba9f-9cce-481b-ab42-d3a1b3a0deab
relation.isJournalIssueOfPublication.latestForDiscovery6de7ba9f-9cce-481b-ab42-d3a1b3a0deab
relation.isJournalOfPublication6f9be05c-05a9-4a3e-a5b5-a19a15ab042c

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