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.
Full Text
The Full Text of this article is available as a PDF (60.6 KB).
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Sener A., Gillet C., Verhelst J., DeBoeck K., Mahler C., Malaisse W. J. Factitious hypoglycaemia documented by a modified assay for the measurement of plasma sulphonylurea. Diabet Med. 1995 May;12(5):433–435. doi: 10.1111/j.1464-5491.1995.tb00509.x. [DOI] [PubMed] [Google Scholar]
- Spiller H. A., Schroeder S. L., Ching D. S. Hemiparesis and altered mental status in a child after glyburide ingestion. J Emerg Med. 1998 May-Jun;16(3):433–435. doi: 10.1016/s0736-4679(98)00010-9. [DOI] [PubMed] [Google Scholar]
- Spiller H. A., Villalobos D., Krenzelok E. P., Anderson B. D., Gorman S. E., Rose S. R., Fenn J., Anderson D. L., Muir S. J., Rodgers G. C., Jr Prospective multicenter study of sulfonylurea ingestion in children. J Pediatr. 1997 Jul;131(1 Pt 1):141–146. doi: 10.1016/s0022-3476(97)70138-0. [DOI] [PubMed] [Google Scholar]