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pubmed-article:7912588pubmed:abstractTextA large, one-hour-old female baby was noted to have hypoglycemia immediately after birth. Although early feeding and then intravenous glucose infusion with a dose gradually increased to 30 mg/kg/min were given, the baby still had recurrent hypoglycemia 14 days after birth. High serum insulin/glucose ratios (> 2.5) were noted twice during hypoglycemic episodes. At the same time, the baby's serum growth hormone, thyroid hormone and cortisol levels were within normal ranges. Hyperinsulinism due to nesidiodysplasia was diagnosed and a near-total pancreatectomy was performed at the age of 14 days. After the operation, euglycemia was achieved and there was no episode of hypoglycemia even after fasting for eight hours. Our experience confirms that surgery is the treatment of choice for patients, including neonates, with hyperinsulinemic hypoglycemia.lld:pubmed
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pubmed-article:7912588pubmed:authorpubmed-author:ChenC CCClld:pubmed
pubmed-article:7912588pubmed:authorpubmed-author:ChengP YPYlld:pubmed
pubmed-article:7912588pubmed:authorpubmed-author:LUY KYKlld:pubmed
pubmed-article:7912588pubmed:authorpubmed-author:ZarJ HJHlld:pubmed
pubmed-article:7912588pubmed:authorpubmed-author:HuangS FSFlld:pubmed
pubmed-article:7912588pubmed:authorpubmed-author:TsaiW YWYlld:pubmed
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pubmed-article:7912588pubmed:volume93lld:pubmed
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pubmed-article:7912588pubmed:dateRevised2004-11-17lld:pubmed
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pubmed-article:7912588pubmed:year1994lld:pubmed
pubmed-article:7912588pubmed:articleTitlePersistent hyperinsulinemic hypoglycemia due to nesidiodysplasia in a neonate.lld:pubmed
pubmed-article:7912588pubmed:affiliationDepartment of Pediatrics, National Taiwan University Hospital, College of Medicine, Taipei, R.O.C.lld:pubmed
pubmed-article:7912588pubmed:publicationTypeJournal Articlelld:pubmed
pubmed-article:7912588pubmed:publicationTypeCase Reportslld:pubmed