酷似婴儿期高胰岛素血症的故意磺脲类药物中毒
Deliberate sulphonylurea poisoning mimicking hyperinsulinaemia of infancy.
作者信息
Owen L, Ellis M, Shield J
机构信息
Bristol Children's Hospital, Bristol, UK.
出版信息
Arch Dis Child. 2000 May;82(5):392-3. doi: 10.1136/adc.82.5.392.
Abstract
A 6 month old child presenting with seizures was found to be hypoglycaemic secondary to hyperinsulinism. A family history of type II diabetes prompted estimation of sulphonylurea in the baby's blood, which was found to be high. A multidisciplinary case conference concluded that the sulphonylurea ingestion was likely to be the result of Munchausen syndrome by proxy. When investigating hypoglycaemia of infancy this possibility should be considered.
摘要
一名6个月大的儿童因癫痫发作就诊，发现是由高胰岛素血症继发的低血糖。其家族中有2型糖尿病病史，促使对婴儿血液中的磺脲类药物进行检测，结果发现含量很高。多学科病例讨论会得出结论，摄入磺脲类药物很可能是代理型孟乔森综合征的结果。在调查婴儿低血糖时，应考虑到这种可能性。
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引用本文的文献
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本文引用的文献
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Hemiparesis and altered mental status in a child after glyburide ingestion.一名儿童在摄入格列本脲后出现偏瘫和精神状态改变。
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Factitious hypoglycaemia documented by a modified assay for the measurement of plasma sulphonylurea.通过改良的血浆磺脲类药物测定法记录的人为低血糖症。
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