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Case Reports
. 1976 Sep;130(9):998-9.
doi: 10.1001/archpedi.1976.02120100088014.

Transient hepatomegaly and hypoglycemia. A consequence of malicious insulin administration

Case Reports

Transient hepatomegaly and hypoglycemia. A consequence of malicious insulin administration

R Dershewitz et al. Am J Dis Child. 1976 Sep.

Abstract

On two occasions, a 3 1/2-year-old black girl had severe hypoglycemia associated with transient hepatomegaly. The plasma insulin level during the second hypoglycemic episode was excessive and led to a diagnosis of malicious insulin administration. We suggest that plasma be obtained for insulin determination in children with hypoglycemia, and that transient hepatomegaly may be a helpful sign in cases of insulin overdose.

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