Deliberate sulphonylurea poisoning mimicking hyperinsulinaemia of infancy. Issue 5 (1st May 2000)

• Record Type: Journal Article
• Authors: Owen, Louise; Ellis, Matthew; Shield, Julian
• Is Part Of: Archives of disease in childhood. Volume 82:Issue 5(2000)
• Page Start: 392
• Page End: 393
• Publication Date: 2000-05-01
• Subjects: Munchausen syndrome by proxy -- diabetes -- sulphonylurea; Children -- Diseases -- Periodicals; Infants -- Diseases -- Periodicals; 618.920005
• DOI: 10.1136/adc.82.5.392
• Languages: English
• ISSNs: 0003-9888

Abstract

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.