PEDIATRICS Vol. 69 No. 6 June 1982, pp. 804-805
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Factitious Hypoglycemia

Jay H. Mayefsky MD1, Ashok P. Sarnaik MBBS1, and Daniel C. Postellon MD1

1 Department of Pediatrics, Wayne State University School of Medicine, Children's Hospital of Michigan, Detroit

Insulin abuse resulting in hypoglycemia was originally reported in 1947.1,2 However, not until the 1970s was the serum C-peptide level recognized to be a reliable marker of pancreatic beta-cell activity.3 Human C-peptide radioimmunoassay has been advocated recently as a useful test in diagnosing insulin-induced factitious hypoglycemia.4,5 This report describes a case of child abuse presenting as hypoglycemic coma secondary to insulin injection. The diagnosis was made by the presence of the pathognomonic triad: hypoglycemia, hyperinsulinemia, and low serum levels of C-peptide.

CASE REPORT

A 2-year-old black boy was brought to the emergency room in an unresponsive state. He was said to be unarousable after his regular afternoon nap.




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B. Bappal, M. George, R. Nair, S. A. Khusaiby, and V. De Silva
Factitious Hypoglycemia: A Tale From the Arab World
Pediatrics, January 1, 2001; 107(1): 180 - 181.
[Abstract] [Full Text]