[On the syndrome of childhood-hypoglycemia. II. Hypoglycemia in the postneonatal period (author's transl)].
Hypoglycemia (h.) in the postneonatal period was predominantly observed in male infants and children. The incidence was 0,51/1000 hospitalizations. The majority of cases was found in the agegroup around 2 years. Concomitant diseases (mostly infections of the upper respiratory tract or gastrointestinal tract) were found in 30 out of 43 hospitalizations. Convulsions and coma were the most frequent symptoms which were found in 43%. In 30% some degree of somnolence was obvious. Hypoglycemia was not considered in the differential diagnosis in any case by the physician treating first. Only 7 out of 34 cases a complicated biochemical work up resulted in an etiological diagnosis: one leucininduced h.; one ketotic h,; one h. in dystrophy and bronchopneumonia with septicemia; one h. in meningococcic septicemia; one h. in adrenal insufficiency; one h. in isolated ACTH-deficiency; one ethyl-induced h.; one h. in polynesy of pancreas; one h. in insulinoma; one h. in diabetes mellitus under insulintherapy.
D000293:Adolescent; D000367:Age Factors; D002648:Child; D002675:Child, Preschool; D003128:Coma / Q000150:complications; D005260:Female; D006801:Humans; D007003:Hypoglycemia / Q000175:diagnosis* / Q000453:epidemiology / Q000209:etiology; D007223:Infant; D008297:Male; D012640:Seizures / Q000150:complications; D012737:Sex Factors; D013557:Switzerland
Zum Problem der kindlichen Hypoglykämie. Untersuchung an 118 Patienten am Kinderspital Basel. II. Hypoglykämien der Neugeborenen-Periode.