Abstract

The Growth History of a Girl carrying ABCC8 Gene Mutation resulting in Congenital Hyperinsulinism

Highlights

  • Congenital hyperinsulinism (CHI) or persistent hyperinsulinemic hypoglycemia (HH) of infancy is the most critical cause of persistent hypoglycemia in infants beyond the first few days after birth [1]

  • The most common and severe forms of CHI are due to mutations in the ABCC8 and KCNJ11 genes, encoding the sulfonylurea receptor 1 (SUR1) and inward rectifier potassium channel Kir6.2 (Kir6.2) subunits of the ATP sensitive potassium (KATP) channel, respectively [3,4]

  • We report a baby carrying a heterozygous mutation, R598X, in the ABCC8 gene associated with persistent hypoglycemia during the infant period

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Summary

Methods

The following were performed on a female infant diagnosed to suffer from CHI. PCR and directly sequencing for mutation detection of all the 39 exons and the flanking intron–exon boundaries of ABCC8 gene, a whole-body PET CT-scan with [18F]-L-Dihydroxyphenylalanine (DOPA) to detect lesions of organs, clinicopathologic and immunohistochemical analysis for pathological diagnosis. Blood glucose was continuously monitored, and she was followed up every six months

Results
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