Fasting hypoglycemia

VI Hers Hepatic glycogen phosphorylase Mild fasting hypoglycemia, hepatomegaly, cirrhosis Normal... 

Deficiency of hepatic glucose 6-phosphatase produces a profound fasting hypoglycemia, lactic acidosis, and hepatomegaly. Additional symptoms include ... 

The answer is C. Pyruvate kinase deficiency is ruled out by the elevated serum lactate levels. The coma is associated with a fasting hypoglycemia, which is indicative of pyruvate carboxylase deficiency. The elevated citrulline and lysine in the serum are due to a reduction of aspartic acid levels, which are caused by the reduced levels of oxaloacetate, the product of the pymvate carboxylase reaction. 

CPT-I deficiency produces a fasting hypoglycemia due to impaired liver function as a consequence of the inability to utilize LCFAs as fuel. 

Fasting hypoglycemia and ketosis, elevated lactic acid and hyperglycemia after glucose load (decreased glycogen storage capacity)... 

A two year-old boy was brought into the emergency room, suffering from severe fasting hypoglycemia. 

Three major types of hypoglycemia Hypoglycemia may be divided into three groups 1) insulin-induced, 2) postprandial (sometimes called reactive hypoglycemia), and 3) fasting hypoglycemia. 

There was fasting hypoglycemia in 19 of 35 children with acute lymphoblastic leukemia receiving maintenance therapy of daily oral mercaptopurine and weekly oral methotrexate all the children improved on withdrawal of chemotherapy and 10 of 15 normalized (320). 

Halonen P, Salo MK, Makipernaa A. Fasting hypoglycemia is common during maintenance therapy for childhood acute lymphoblastic leukemia. J Pediatr 2001 138(3) 428-31. 

Evaluation of fasting hypoglycemia ji-cell tumors Factitious... 

We ll never know what caused Steve Braun s mysterious illness. Candidiasis gets blamed for just about everything these days (but Ebstein-Barr is gaining fast). Hypoglycemia, the diagnosis of the 60 s, seems to be losing popularity. 

The clinical presentation of carnitine deficiency includes generalized skeletal muscle weakness, fatty liver, and fasting hypoglycemia. Carnitine status can be assessed by measurement of plasma, urine, or red blood cell total and free carnitine concentrations. Plasma and urine carnitine concentrations are most helpful in primary carnitine deficiency (an inborn error of metabolism). Plasma concentrations constitute less than 1% of the total body carnitine. ... 

QUESTION 8.6 Patients with Von Gierke s disease (a glycogen storage disease) lack glucose-6-phosphatase activity. Two prominent symptoms of this disorder are fasting hypoglycemia and lactic acidosis. Can you explain why these symptoms occur ... 

A random serum glucose level done at 4 30 pm during her first office visit was subnormal at 46 mg/dL. Her physician, suspecting she had a form of fasting hypoglycemia, ordered a series of fasting serum glucose levels. In addition, he asked Bea to keep a careful daily diary of all of the symptoms that she experienced when her attacks were most severe. 

Ms. Selmass s doctor explained that the general diagnosis of "fasting" hypoglycemia was now established and that a specific cause for this disorder must be found. 

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