title: [Etiologic diagnosis of hypoglycemia in children].
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.
authors.affiliation: Unité d'Etude des maladies métaboliques, hôpital Debrousse, Lyon, France.
authors.forename: L
authors.initials: L
authors.lastname: de Parscau
authors.forename: P
authors.initials: P
authors.lastname: Guibaud
mesh_terms: D002648:Child; D006529:Hepatomegaly / Q000209:etiology; D006801:Humans; D006946:Hyperinsulinism / Q000150:complications; D007003:Hypoglycemia / Q000151:congenital / Q000209:etiology*; D007231:Infant, Newborn; D007662:Ketosis / Q000209:etiology; D008661:Metabolism, Inborn Errors / Q000150:complications
vernacular_title: Diagnostic étiologique des hypoglycémies de l'enfant.