Læknablaðið - 01.04.1968, Síða 46

72
LÆKNABLAÐIÐ
koma á í veg fyrir fávitahátt af þessum orsökum, er nauðsynlegt,
að réttar rannsóknir séu gerðar í tíma og meðferð hafin, jafnvel
áður en niðurstöður eru kunnar, til þess að dýrmætum tíma sé
ekki sóað.
SUMMARY
Two children with hypoglycemia are presented to illustrate some
of the clinical features of this condition, and the laboratory in-
vestigation, that may be necessary for diagnosis and treatment. The
main causes of hypoglycemia in infancy and childhood are discussed
with a brief description of the therapeutic management. The clinical
manifestations can be quite variable and inconstant, especially during
infancy. Early diagnosis and treatment seems to be mandatory to
prevent death or permanent brain damage. This can only be avoided
if pediatricians and other physicians remain alert to the fact that
hypoglycemia is not uncommon in infants and children. Since the
etiology is still unknown in most instances of hypoglycemia in children,
further studies of their carbohydrate metabolism will be extremely
important.
Heimildir:
1. Aballi, A. J.: Disturbances of carbohydrate metabolism in infantile
malnutrition. Revista Cuba. Pediat. 22:509, 1950.
2. Anderson, E. P., Kalckar, H. M., Kurahashi, K. og Isselbacher, K. J.:
A specific enzymatic assay for the diagnosis of congenital gal-
actosemia. J. Lab. Clin. Med. 50:469, 1957.
3. Broberger, O. og Zetterström, R.: Hypoglycemia with an inability
to increase the epinephrine secretion in insulininduced hypogly-
cemia. J. Pediat. 59:215, 1961.
4. Cochrane, W. A., Payne, W. W., Simpkiss, M. J. og Woolf, L. I.:
Familial hypoglycemia precipitated by amino acids. J. Clin. Invest.
35:411, 1956.
5. Cohen, S. L., Legg, S. og Bird, R.: A bedside method of blood-
glucose estimation. Lancet 2:883, 1964.
6. Colle, E. og Ulstrom, R. A.: Ketotic hypoglycemia. J. Pediat.
64:632, 1964.
7. Combs, J. I., Grunt, J. A. og Brandt, I. K.: New syndrome of
neonatal hypoglycemia. New Eng. J. Med. 275:236, 1966.
8. Cornblath, M. og Schwartz, R.: Disorders of Carbohydrate Meta-
bolism in Infancy. Philadelphia, W. B. Saunders Co., 1966.
9. Cornblath, M., Rosenthal, I. M., Reisner, S. H., Wybregt, S. H. og
Crane, R. K.: Hereditary fructose intolerance. New Eng. J. Med.
269:1271, 1963.