Article
Sirolimus in the treatment of three infants with diffuse congenital hyperinsulinism.
Journal of pediatric endocrinology & metabolism : JPEM - 28 Aug 2017
Al-Balwi Rana, Al-Atawi Mohsen, Al-Otaibi Ahlam, Babiker Omar, Al-Mutair Angham
Abstract excerpt
BACKGROUND: Congenital hyperinsulinism (CHI) is a major cause of persistent hypoglycemia and brain damage. Therapeutic strategies to avoid near total pancreatectomy in patients who are unresponsive to maximum doses of diazoxide and octreotide remain to be identified, although sirolimus, a mammalian target of rapamycin (mTOR) inhibitor, has been used successfully to treat diffuse type CHI. CASE PRESENTATION: We...
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