0
ARTICLE |

Islet-Cell Adenoma as a Cause of Juvenile Hyperinsulinism in a Four-Year-Old Boy:  Report of a Case

David H. Watkins, MD; Frank A. Traylor, MD
JAMA. 1963;185(2):139-142. doi:10.1001/jama.1963.03060020099038.
Text Size: A A A
Published online

HYPOGLYCEMIC CRISES with prominent neuropsychiatric manifestations, terminated by administration of glucose, usually suggest in the adult a pancreatic origin of the symptoms—the Whipple triad. However, in the young child, the same syndrome ordinarily suggests a different cause, since functioning pancreatic islet-cell adenomas are very uncommon in the pediatric age group.1-3

This, the 28th reported case of a functioning islet-cell adenoma in childhood, is presented for three reasons: the rarity of functioning islet-cell adenomas in childhood; the occasional difficulty in establishing a diagnosis in childhood; and to emphasize the constant risk of death from hypoglycemic coma and development of irreversible hypoglycemic encephalopathy.

Report of a Case  A 4-year-old boy was admitted to the Denver General Hospital on Feb 20, 1961, with the chief complaint of convulsions. He had had his first convulsion on Dec 17, 1960, in the morning, immediately after awakening. This generalized convulsion lasted 2 to 3 min

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();