title: [Hyperinsulinemic hypoglycemia: a study of four cases].
abstract: We present a review of four cases of hypoglycemia caused by hyperinsulinemia that were diagnosed at our hospital during the last few years. In all of the cases the disease appeared with neurological symptoms (seizures) for the first months of life, followed by hypoglycemia. We propose a diagnostic algorithm which could be used with hypoglycemia cases. In addition, the diagnostic tests are discussed, as well as the treatment applied and the later evolution of each patient.
authors.affiliation: Sección de Lactantes, Hospital Infantil Miguel Servet, Zaragoza.
authors.forename: J
authors.initials: J
authors.lastname: Féliz-De Vargas Pastor
authors.forename: I
authors.initials: I
authors.lastname: García Jiménez
authors.forename: F
authors.initials: F
authors.lastname: Sánchez Miramón
authors.forename: P
authors.initials: P
authors.lastname: García López
authors.forename: P
authors.initials: P
authors.lastname: Uriel Miñana
authors.forename: A
authors.initials: A
authors.lastname: Baldellou Vázquez
authors.forename: V
authors.initials: V
authors.lastname: Rebaje Moise
mesh_terms: D000465:Algorithms; D003981:Diazoxide / Q000008:administration & dosage / Q000627:therapeutic use; D005260:Female; D005934:Glucagon; D005947:Glucose / Q000032:analysis; D006801:Humans; D006946:Hyperinsulinism / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D007003:Hypoglycemia / Q000209:etiology*; D007328:Insulin / Q000032:analysis; D008099:Liver / Q000737:chemistry; D008297:Male; D008499:Medical Records; D012189:Retrospective Studies
chemical_list: D007328:Insulin; D005934:Glucagon; D005947:Glucose; D003981:Diazoxide
vernacular_title: Hipoglucemia por hiperinsulinismo: estudio de cuatro casos.