DIAGNOSIS DIFFICULTIES IN INFANT’S HYPOGLYCEMIA

Introduction. Hypoglycemia with its diverse causes is frequently encountered in the pediatrics pathology, beginning with the neonatal period and until the adolescent one. Through its consequences, both, the early (seizures, coma) and the late ones (neurological impairment), hypoglycemia must be iden...

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Main Authors: Alina Grama, Oana Marginean, Iulian Velea, Corina Paul, Mihaela Chincesan, Lorena Elena Melit
Format: Article
Language:English
Published: Amaltea Medical Publishing House 2015-09-01
Series:Romanian Journal of Pediatrics
Subjects:
Online Access:https://revistemedicale.amaltea.ro/Romanian_Journal_of_PEDIATRICS/Revista_Romana_de_PEDIATRIE-2015-Nr.3/EN/RJP_2015_3_EN_Art-10.pdf
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author Alina Grama
Oana Marginean
Iulian Velea
Corina Paul
Mihaela Chincesan
Lorena Elena Melit
author_facet Alina Grama
Oana Marginean
Iulian Velea
Corina Paul
Mihaela Chincesan
Lorena Elena Melit
author_sort Alina Grama
collection DOAJ
description Introduction. Hypoglycemia with its diverse causes is frequently encountered in the pediatrics pathology, beginning with the neonatal period and until the adolescent one. Through its consequences, both, the early (seizures, coma) and the late ones (neurological impairment), hypoglycemia must be identifi ed, prevented, avoided and treated. Objectives. To present the clinical evolution of a female patient with severe, symptomatic hypoglycemia even since the neonatal period. Since birth, the value of glycaemia presents a fl uctuant dynamic, and the isolated decrease of glycaemia does not necessary represent a pathological situation, but can be a symptom of an underlying disorder. Material and method. The patient is admitted in our clinic at the age of newborn in order to establish the etiology and treatment of hypoglycemia. We achieved the biologic and hormonal profi le, we performed metabolic blood determinations and genetic tests. Results. We established the diagnosis of severe persistent hypoglycemia. The burden of the results interpretation was represented by the prolonged evolution of the disease, the small age and the family’s low compliance. Conclusions. Persistent hypoglycemia has multiple causes. The management of an infant with severe hypoglycemia can be diffi cult and it imposes a complex approach.
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spelling doaj.art-747139d2c84a425daf3a41f7f8bb2cb12022-12-21T23:12:29ZengAmaltea Medical Publishing HouseRomanian Journal of Pediatrics1454-03982069-61752015-09-0164328528810.37897/RJP.2015.3.10DIAGNOSIS DIFFICULTIES IN INFANT’S HYPOGLYCEMIAAlina Grama0Oana Marginean1Iulian Velea2Corina Paul3Mihaela Chincesan4Lorena Elena Melit51stPediatric Clinic, University of Medicine and Pharmacy, Targu-Mures1stPediatric Clinic, University of Medicine and Pharmacy, Targu-Mures1st Pediatric Clinic, University of Medicine and Pharmacy, Timisoara1st Pediatric Clinic, University of Medicine and Pharmacy, Timisoara1stPediatric Clinic, University of Medicine and Pharmacy, Targu-Mures1stPediatric Clinic, University of Medicine and Pharmacy, Targu-MuresIntroduction. Hypoglycemia with its diverse causes is frequently encountered in the pediatrics pathology, beginning with the neonatal period and until the adolescent one. Through its consequences, both, the early (seizures, coma) and the late ones (neurological impairment), hypoglycemia must be identifi ed, prevented, avoided and treated. Objectives. To present the clinical evolution of a female patient with severe, symptomatic hypoglycemia even since the neonatal period. Since birth, the value of glycaemia presents a fl uctuant dynamic, and the isolated decrease of glycaemia does not necessary represent a pathological situation, but can be a symptom of an underlying disorder. Material and method. The patient is admitted in our clinic at the age of newborn in order to establish the etiology and treatment of hypoglycemia. We achieved the biologic and hormonal profi le, we performed metabolic blood determinations and genetic tests. Results. We established the diagnosis of severe persistent hypoglycemia. The burden of the results interpretation was represented by the prolonged evolution of the disease, the small age and the family’s low compliance. Conclusions. Persistent hypoglycemia has multiple causes. The management of an infant with severe hypoglycemia can be diffi cult and it imposes a complex approach.https://revistemedicale.amaltea.ro/Romanian_Journal_of_PEDIATRICS/Revista_Romana_de_PEDIATRIE-2015-Nr.3/EN/RJP_2015_3_EN_Art-10.pdfhypoglycemiainfantduarte gene
spellingShingle Alina Grama
Oana Marginean
Iulian Velea
Corina Paul
Mihaela Chincesan
Lorena Elena Melit
DIAGNOSIS DIFFICULTIES IN INFANT’S HYPOGLYCEMIA
Romanian Journal of Pediatrics
hypoglycemia
infant
duarte gene
title DIAGNOSIS DIFFICULTIES IN INFANT’S HYPOGLYCEMIA
title_full DIAGNOSIS DIFFICULTIES IN INFANT’S HYPOGLYCEMIA
title_fullStr DIAGNOSIS DIFFICULTIES IN INFANT’S HYPOGLYCEMIA
title_full_unstemmed DIAGNOSIS DIFFICULTIES IN INFANT’S HYPOGLYCEMIA
title_short DIAGNOSIS DIFFICULTIES IN INFANT’S HYPOGLYCEMIA
title_sort diagnosis difficulties in infant s hypoglycemia
topic hypoglycemia
infant
duarte gene
url https://revistemedicale.amaltea.ro/Romanian_Journal_of_PEDIATRICS/Revista_Romana_de_PEDIATRIE-2015-Nr.3/EN/RJP_2015_3_EN_Art-10.pdf
work_keys_str_mv AT alinagrama diagnosisdifficultiesininfantshypoglycemia
AT oanamarginean diagnosisdifficultiesininfantshypoglycemia
AT iulianvelea diagnosisdifficultiesininfantshypoglycemia
AT corinapaul diagnosisdifficultiesininfantshypoglycemia
AT mihaelachincesan diagnosisdifficultiesininfantshypoglycemia
AT lorenaelenamelit diagnosisdifficultiesininfantshypoglycemia