title: Recurrent hypoglycemia in a toddler.
abstract: Idiopathic ketotic hypoglycemia is the most common cause of hypoglycemia in toddlers. This diagnosis should be considered in any hypoglycemic toddler with no prior history of abnormal growth who is developmentally normal when toxic ingestions and sepsis are inconsistent with the clinical picture. Diagnosis is important in preventing serious long-term sequelae and is made in the setting of hypoglycemia, ketonuria, and ketonemia. Therefore, checking urine and blood ketones is an essential part of the evaluation in any hypoglycemic toddler. We report the case of a 3-year-old girl with recurrent hypoglycemia secondary to idiopathic ketotic hypoglycemia.
authors.affiliation: St Luke's University Hospital, 801 Ostrum St, Bethlehem, PA 18015, USA.
authors.forename: Marissa
authors.initials: M
authors.lastname: Cohen
authors.affiliation: St Luke's University Hospital, 801 Ostrum St, Bethlehem, PA 18015, USA.
authors.forename: Sean
authors.initials: S
authors.lastname: Zwiebel
authors.affiliation: St Luke's University Hospital, 801 Ostrum St, Bethlehem, PA 18015, USA. Electronic address: rebeccajeanmonod@yahoo.com.
authors.forename: Rebecca
authors.initials: R
authors.lastname: Jeanmonod
mesh_terms: D002675:Child, Preschool; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007003:Hypoglycemia / Q000175:diagnosis* / Q000178:diet therapy*; D007662:Ketosis / Q000175:diagnosis* / Q000178:diet therapy*; D012008:Recurrence