Ketotic hypoglycemia in children "not an uncommon entity but is rarely thought of": Case series

Yadav, Santosh Kumar; Nigwekar, Prashant; Shrikhande, Dhananjay Y; Patil, Amit; Yadav, Amit; Maniya, Nilesh

doi:10.5958/j.2319-5886.2.4.167

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2020

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“…9 Yadav et al published a case series with four children presenting with early morning ketotic hypoglycemia and among them, three were diagnosed with IKH. 10 IKH or hypoglycemia occurred due to any cause manifests with neurological symptoms like altered sensorium, seizures, and coma. So any child presenting with these symptoms, suspected hypoglycemia, is advised for blood glucose estimation.…”

Section: Discussionmentioning

confidence: 99%

A Case Report of Idiopathic Ketotic Hypoglycemia Masquerading as Epilepsy

Dudipala

Battu

Mandapuram

et al. 2020

Journal of Pediatric Epilepsy

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AbstractIdiopathic ketotic hypoglycemia (IKH) is characterized by recurrent neurohypoglycemic symptoms with ketosis. Hypoglycemic episodes typically occur during early mornings, especially either with illness and/or prolonged fasting. We reported a case of IKH which presented with recurrent episodes of seizures during early morning with intercurrent illness and which was labeled as epilepsy and started on antiepileptic medication. The purpose of this case report is to alert clinicians about this condition, which is not an uncommon entity, but rarely thought of. Therefore, in view of keeping the IKH in mind, which can be prevented with proper diet advice during illness, unnecessary long-term antiepileptic therapy can be avoided.

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Section: Discussionmentioning

confidence: 99%