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KMID : 1036920160210040226
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Annals of Pediatric Endocrinology & Metabolism
2016 Volume.21 No. 4 p.226 ~ p.229
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Systemic primary carnitine deficiency with hypoglycemic encephalopathy
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Jun Jae-Sung
Lee Eun-Joo
Park Hyung-Doo
Kim Hae-Sook
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Abstract
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Acute hypoglycemia in children is not an uncommon disease that can be encountered in the Emergency Department. Most cases of childhood hypoglycemia are caused by ketotic hypoglycemia due to missed meals. Often, hypoketotic hypoglycemia can also occur, which suggests hyperinsulinemia or a defect in fatty acid oxidation. Carnitine is essential for long chain fatty acids transfer into mitochondria for oxidation. We present a case of systemic primary carnitine deficiency who presented with seizures due to hypoketotic hypoglycemia.
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KEYWORD
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Hypoglycemia, Encephalopathy, Systemic carnitine deficiency
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