title: Transient hepatomegaly and hypoglycemia. A consequence of malicious insulin administration.
abstract: On two occasions, a 3 1/2-year-old black girl had severe hypoglycemia associated with transient hepatomegaly. The plasma insulin level during the second hypoglycemic episode was excessive and led to a diagnosis of malicious insulin administration. We suggest that plasma be obtained for insulin determination in children with hypoglycemia, and that transient hepatomegaly may be a helpful sign in cases of insulin overdose.
mesh_terms: D002649:Child Abuse; D002675:Child, Preschool; D005260:Female; D006529:Hepatomegaly / Q000139:chemically induced*; D006801:Humans; D007003:Hypoglycemia / Q000139:chemically induced* / Q000175:diagnosis; D007328:Insulin / Q000009:adverse effects*
chemical_list: D007328:Insulin