Long term follow up of persistent hyperinsulinaemic hypoglycaemia of infancy.
Twenty six children with hypoglycaemia were diagnosed and followed between 1975 and 1995.
Diagnosis was confirmed by a high insulin : glucose ratio, and low free fatty acid and 3-hydroxybutyrate on fasting.
All patients were treated with diazoxide at a maximum dose of 20 mg/kg/day.
Requirement of a higher dose was considered as a failure of medical treatment and an indication for surgery.
Sixteen children responded to diazoxide ; 10 failed to respond and underwent pancreatic resection.
Six of the latter group started with symptoms in the neonatal period.
Eleven of the 26 children have neurological sequelae.
Head growth and neurological outcome correlated well.
Additionally, non-specific electroencephalogram abnormalities (slow waves) appear to be indicative of subclinical hypoglycaemia during follow up.
Mots-clés Pascal : Hypoglycémie, Hyperinsulinémie, Traitement, Diazoxide, Pancréatectomie, Pronostic, Long terme, Etude statistique, Biologie clinique, Electroencéphalographie, Séquelle, Neurologie, Argentine, Amérique du Sud, Amérique, Nouveau né, Homme, Nourrisson, Enfant, Endocrinopathie, Hyperglycémiant, Chirurgie, Electrodiagnostic
Mots-clés Pascal anglais : Hypoglycemia, Hyperinsulinemia, Treatment, Diazoxide, Pancreatectomy, Prognosis, Long term, Statistical study, Clinical biology, Electroencephalography, Sequela, Neurology, Argentina, South America, America, Newborn, Human, Infant, Child, Endocrinopathy, Hyperglycemic substances, Surgery, Electrodiagnosis
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0536034
Code Inist : 002B27B12. Création : 23/03/1999.