PEDIATRICS Vol. 90 No. 4 October 1992, pp. 636-638
This Article
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by DODEK, A. B.
Right arrow Articles by SADEGHI-NEJAD, A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by DODEK, A. B.
Right arrow Articles by SADEGHI-NEJAD, A.

Value of Selective Pancreatic Angiography in the Evaluation of Hyperinsulinemic Hypoglycemia in Infancy

ANTON B. DODEK MD1 and AB SADEGHI-NEJAD MD1

1 Dept of Pediatrics, Tufts University School of Medicine, New England Medical Center, (Floating Hospital for Infants and Children), Boston, MA

Transient hyperinsulinemic hypoglycemia of the newborn is relatively common and is seen frequently in infants of diabetic mothers.1 Erythroblastosis fetalis and Beckwith-Wiedemann syndrome are less common causes.2 By contrast, persistent hyperinsulinism is an uncommon cause of hypoglycemia in this age group.2 This form of hyperinsulinemia is often caused by nesidioblastosis, a diffuse disorder of the pancreas resulting from transformation of the pancreatic ductal tissue into insulin-producing islet cells, or rarely by an islet cell adenoma, a localized proliferation of the islets of Langerhans.2,3 In one review of 160 hyperinsulinemic infants, four adenomas were reported.4 Because an islet cell adenoma may be very small, attempts at diagnosis and localization by non-invasive techniques such as ultrasonography, computer tomography, and magnetic resonance imaging have usually been unsuccessful.

Submitted on March 19, 1992
Accepted on May 15, 1992




This article has been cited by other articles:


Home page
 NEJMHome page
A. Sadeghi-Nejad and F. M. Graeme-Cook
Case 39-2001- A Newborn Girl with Seizures and Persistent Hypoglycemia
N. Engl. J. Med., December 20, 2001; 345(25): 1833 - 1839.
[Full Text] [PDF]