Systemic primary carnitine deficiency with hypoglycemic encephalopathy

Acute hypoglycemia in children is not an uncommon disease that can be encountered in the Emergency Department. Most cases of childhood hypoglycemia are caused by ketotic hypoglycemia due to missed meals. Often, hypoketotic hypoglycemia can also occur, which suggests hyperinsulinemia or a defect in f...

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Main Authors: Jae Sung Jun, Eun Joo Lee, Hyung Doo Park, Hae Sook Kim
Format: Article
Language:English
Published: Korean Society of Pediatric Endocrinology 2016-12-01
Series:Annals of Pediatric Endocrinology & Metabolism
Subjects:
Online Access:http://e-apem.org/upload/pdf/apem-21-226.pdf
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author Jae Sung Jun
Eun Joo Lee
Hyung Doo Park
Hae Sook Kim
author_facet Jae Sung Jun
Eun Joo Lee
Hyung Doo Park
Hae Sook Kim
author_sort Jae Sung Jun
collection DOAJ
description Acute hypoglycemia in children is not an uncommon disease that can be encountered in the Emergency Department. Most cases of childhood hypoglycemia are caused by ketotic hypoglycemia due to missed meals. Often, hypoketotic hypoglycemia can also occur, which suggests hyperinsulinemia or a defect in fatty acid oxidation. Carnitine is essential for long chain fatty acids transfer into mitochondria for oxidation. We present a case of systemic primary carnitine deficiency who presented with seizures due to hypoketotic hypoglycemia.
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spelling doaj.art-4d8b969287a642eba8b008ef4fa448912022-12-21T19:03:26ZengKorean Society of Pediatric EndocrinologyAnnals of Pediatric Endocrinology & Metabolism2287-10122287-12922016-12-0121422622910.6065/apem.2016.21.4.226633Systemic primary carnitine deficiency with hypoglycemic encephalopathyJae Sung Jun0Eun Joo Lee1Hyung Doo Park2Hae Sook Kim3Department of Pediatrics, Fatima Hospital, Daegu, Korea.Department of Pediatrics, Daegu Catholic University Hospital, Daegu Catholic University College of Medicine, Daegu, Korea.Department of Laboratory Medicine and Genetics, Samsung Medical Center, Seoul, Korea.Department of Pediatrics, Fatima Hospital, Daegu, Korea.Acute hypoglycemia in children is not an uncommon disease that can be encountered in the Emergency Department. Most cases of childhood hypoglycemia are caused by ketotic hypoglycemia due to missed meals. Often, hypoketotic hypoglycemia can also occur, which suggests hyperinsulinemia or a defect in fatty acid oxidation. Carnitine is essential for long chain fatty acids transfer into mitochondria for oxidation. We present a case of systemic primary carnitine deficiency who presented with seizures due to hypoketotic hypoglycemia.http://e-apem.org/upload/pdf/apem-21-226.pdfHypoglycemiaEncephalopathySystemic carnitine deficiency
spellingShingle Jae Sung Jun
Eun Joo Lee
Hyung Doo Park
Hae Sook Kim
Systemic primary carnitine deficiency with hypoglycemic encephalopathy
Annals of Pediatric Endocrinology & Metabolism
Hypoglycemia
Encephalopathy
Systemic carnitine deficiency
title Systemic primary carnitine deficiency with hypoglycemic encephalopathy
title_full Systemic primary carnitine deficiency with hypoglycemic encephalopathy
title_fullStr Systemic primary carnitine deficiency with hypoglycemic encephalopathy
title_full_unstemmed Systemic primary carnitine deficiency with hypoglycemic encephalopathy
title_short Systemic primary carnitine deficiency with hypoglycemic encephalopathy
title_sort systemic primary carnitine deficiency with hypoglycemic encephalopathy
topic Hypoglycemia
Encephalopathy
Systemic carnitine deficiency
url http://e-apem.org/upload/pdf/apem-21-226.pdf
work_keys_str_mv AT jaesungjun systemicprimarycarnitinedeficiencywithhypoglycemicencephalopathy
AT eunjoolee systemicprimarycarnitinedeficiencywithhypoglycemicencephalopathy
AT hyungdoopark systemicprimarycarnitinedeficiencywithhypoglycemicencephalopathy
AT haesookkim systemicprimarycarnitinedeficiencywithhypoglycemicencephalopathy