Factitious hypoglycemia: A tale from the Arab World

Citation
B. Bappal et al., Factitious hypoglycemia: A tale from the Arab World, PEDIATRICS, 107(1), 2001, pp. 180-182
Citations number
7
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Pediatrics,"Medical Research General Topics
Journal title
PEDIATRICS
ISSN journal
0031-4005 → ACNP
Volume
107
Issue
1
Year of publication
2001
Pages
180 - 182
Database
ISI
SICI code
0031-4005(200101)107:1<180:FHATFT>2.0.ZU;2-R
Abstract
The mother is usually the one who narrates the patient's history to the ped iatrician. Listening and eliciting the parent's story is an art. One of the essential attributes of a good pediatrician is the readiness to believe th e parent's story. Mothers are good historians and careful observers. The ax iom that the mother is always right is true in most instances. However, occ asionally the clinician is deliberately misled by the storyteller, resultin g in numerous and potentially dangerous diagnostic investigations. We descr ibe a boy with recurrent hypoglycemic coma in whom the diagnosis of factiti ous hypoglycemia was delayed as it is believed to be nonexistent in our com munity. We emphasize that in all patients with recurrent hypoglycemia, esti mation of C-peptide and insulin should be performed even when the clinical settings are not in favor of the diagnosis of Munchausen syndrome by proxy.