doiSerbia

Persistent hyperinsulinemic hypoglicemia of the neonate

Maglajlić Svjetlana (University Children’s Hospital, Belgrade)
Ješić Miloš (University Children’s Hospital, Belgrade)
Necić Svetislav (University Children’s Hospital, Belgrade)
Lukač Marija (University Children’s Hospital, Belgrade)
Sinđić Sanja (University Children’s Hospital, Belgrade)
Ješić Maja (University Children’s Hospital, Belgrade)
Vujović Dragana (University Children’s Hospital, Belgrade)

Persistent hyperinsulinemic hypoglicemia of the neonate is a rare heterogenous disease (clinically, histologically, metabolically and genetically), which is characterized by inadequatly high insuline rates in the presence of severe hypoglicemia. Hyperinsulinism, rather a syndrome than a disease, of which the main metabolic feature is hypoglicemia and decreased concentration of free fatty acids and ketones in serum (insulin inhibits lypolisis and sinthetizes ketonic bodies), presents a major diagnostic and therapeutic chalenge. The disease is often followed by brain atrophy contributed by the attacks of hypoglicemia. It is inherited as an autosomally recessive and autosomally dominant disease. The genetic defects is located on the short arm of the chromosome 11. The authors report a successfully applied conservative treatment in a neonate with persistent hyperinsulinemic hypoglicemia.

Keywords: hyperinsulinism, hypoglicemia, neonate