GRAND ROUNDS AND TEACHING FILES
Recurrent ketotic hypoglycemia


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Clinical Problem:


Ira Shah
Medical Sciences Department, Pediatric Oncall, Mumbai, India.

Address for Correspondence: Dr Ira Shah, 1, B Saguna, 271, B St Francis Road, Vile Parle {W}, Mumbai 400056, India.


A 4 years old boy presented with recurrent ketotic hypoglycemic convulsions at 1½, 3½ and 4 years of age. Currently on examination, he was detected to have hepatomegaly {liver 2cm palpable with span 7 cm}. Liver function tests were normal. In this child, growth hormone, lipid profile, cortisol, thyroid functions were normal. Urine and plasma aminoacidogram were normal.



Does this child have a liver cause of ketotic hypoglycemia_?

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