Apparent hypocortisolism in an infant with prolonged hyperinsulinism.
We report a case of transient hyperinsulinism with hypocortisolemia in a preterm small for date neonate with recurrent hypoglycemia and perinatal stress. Investigation revealed increased Insulin level with subnormal cortisol level even during hypoglycemia. Hypoglycemia resolved by its own by 22nd day of life with normal insulin and cortisol level thereafter.
Gupta
Vijay
V
Department of Pediatrics and Neonatology, Dr. Ram Manohar Lohia Hospital New Delhi, New Delhi, India. yzaygupta@gmail.com
Gupta
V K
VK
D044903:Congenital Hyperinsulinism / Q000175:diagnosis*; D006801:Humans; D006854:Hydrocortisone / Q000097:blood*; D007231:Infant, Newborn; D007234:Infant, Premature; D007236:Infant, Small for Gestational Age
D006854:Hydrocortisone