sug sia de Web Sie © ‘METHOFOLE Hanoy 8. Core Hanay S, Kaa Diabetes mellisus in infants up to six week of age may be clestied as iran sient, permanent or of an undetermined ype A rev of the erate saws « toiat ‘of 93 reported cases of hyper yeaa eunring diving the fot He towels of fe We ave describing’ sewborn tofest sith an undetermined iype of takes twellians for three reson 1 i tnfant fered a marbed hypergivcenls at of ape, dbe elie occarence fo be reported ty the litercure; 2) she is only she thid diabetic newborn infant fa whom serum inmeunoassayable inst: li studies sere done; 3) it presents the D=G) A Neonatal ciabeees malice DEPARTMENTS OF PEDIATRICS, PATHOLOGY, MEDI NEW YORE MEDICAL COLLEGE, NEW YORK (Directors: Drs E. Wisaeenis, D. Sito, R, Gosporers, R. A. CansexoaeDsvauoe) FLOWER, AND FIFTH AVENUE HOSPITALS HOSPITALS, NEW YORK (Director: Dr. I. D a) NEONATAL DIABETES MELLITUS Cami Zeisos — CarLos A. Vitasco Duneres meiusrus xzoxatat, Ladiae bbezes mellitus presente en nics haste les seis semanas de edad, puede sor clasificeda como transitoria, permaner: te0 indeterminada **, Hin ido repstrados on I teste tun total de 55 casos de hiperghscemia e las prireras seis semanas de edad". Se describe el caso de una cristura seciée mide con el tipo indeterminad= de disbetcs mellitus basodo en las 3: (guientes razones: 1) manifestaba una imarcads hiperglicemia 2 Ins 32h de edad, considestndose el dato mas precoz rogistrado en la lieraturas 2) representa cl tercer caso de diabetes en el recén nacido en el coal se efectuaton. radio590662 peg? D=G) A Neonatal ciabeees malice ent, permanent or of an underorvined log sels semanas de ead, posde ser type clstcnde come tetova, peomanen A review of the literature shows a Hian sido registrados en Ie Literatura toial of 55 reported cases of hyper umtotal de 35 casos de hiperglocemia en aber certs dag the reste pte lave da We are describing « newborn infant Se describe el caso de una cristura with an undetermined type of diabetes reciéa nacida con el tivo indeterminado rellitus for three reasors: 1) this infant de diabetes mellitus basedo en las si ‘aauifesied a marked hyperglycemia at guientes razones: 1) marifestaba una 32 bes of ene, she earliest occurrence to maroada hiperglucemia a las 32 h de bbe reported tn the literature; 2) she is edad, considerinclose el dato mas preccz only the third diabetic newborn infext registrado en la literatura; 2) representa fn tobom serum insmmunoassayzble insu ol tercer caso de diabetes en el reciéo lin studies wore done; 3) ix protents the nacido en el cual ce efectuaton radio tragedy of « missed disgnosis of diabe- inmunoersayos de insulica sérica; 3) tes ino newborn injant. dessfortunadamente, constituye un caso de diabetes en el tecién nacido cay Glagnéstico fue pesado por alto. CASE REPORT INFORME DEL CASO is 2570_¢ female injat seat born Se tere toe yearald prminarons meatber, up peo de 2370 8, HE, Dade ‘tbo Bei Bren heated for sypbiie 10 monte Soe Ge cla, pers, tabla 03= = CG i ispingercom ick 104007FBF075906625 eget previous, and whose serology as silt 44 Ely sanlogy ear Fest. The Tener own seer mecontunataned, andthe baby tat {everely dpveved at bith. Se soar difeit osm aig ai eh rout fespacins. AL 30 min of ate, rele“ epscde, requiring shelton ant positive. pressure Qh to, r= ons spain, Th ‘baby iy, severe reipretary direst Wout Moro or erp rene, The condition grodualy wor ped and of 32 brs of age he baby presented Be pace, sing Tk. machine CNS ladon oF tage es a nest Ly ads a been sted ‘medial aftr Bieb, and she wae atmcined (e106 glace verenimatcly 63 alli 24 brs and toes tiven 73% NaHCO,” by bab 2 mewsiay He heal. Tn adiltion, the toes treated witb wgacoas perils (130200 hia re aed enoaese (3 ape) 2 be, br iso dulled dove) pla tap was dove, and Bo wat then Tor luctse determination. The sia Suid oat doar, Lis glacne conten wos 465 100 mf and protein owe 155 rp /1O ra The Blood slecore was 367 mg/100 ml, CO; [55 ball, K 82° mBgfl (bemelyerd {perinten tnt Na 139 mBg/t These cessed Sibucs wore wofodenatly fst giribaed othe “1036. glacone infcion The babys Condition contirucd fo" deteriorate, papi 10 rss pos uae aoe ile » ‘deve en dst en el momento cel para, Lee dts seolpice de Ia crore facta ‘nos. Fl lei amaitionexobe coloreado fon meconio: Fue mo dil reanietle pace pee poder exter ES ceepnaén espentiogs A Ise 30" la de ede to stverosepstaios apocicos que fa espont nei apap La ia tbe ann gh sever dututhls repeat ea 25% O, Berane ida, y los reflejos paimaces y Ht se scott asin cond iba enpecré gradulnerte ye fas 32.h de fed presents fe pica made fe agestion als Semone, iter eno fowal: La rdiogafa del pala reel) uo pacidad bateral Terapcctica con ecusiones IRS ltd edema depute del Isa lucced al"10% "eprouiadameste 135 ml/Ag/24 fy y send cero, can 30. Iuée de NeHCO al 7.5%. Siaullosame te, fas. gticada coe peaicilna gcunsa (sao U/i2 bly knanicina (15 mg/l 24 hep doe desis rit. E Uquide cefaloragqukdo era. cransparente repel see mero al ab hoe 133. smg/ 00 sel, de proceipas La" glocemla feel is dts de 567 mg/i00 i, Deseo fpedatacate, estos valor aloe do psous sa auibutdon a, primere imwcte lt solace avec Guos.aneiuis comple ientatioe de lnberstero.eaminietrarn as Sigulets seltedos: CO, 169 ball, K 62 ‘abil (muestra bemolsada) 7 Na 138 afl= = CG i ispingercom ick 104007FBF075906625 eget A tpn a9 was noses p90 wat lehen for gactee determination. The spiral ad war dear es gerne conten! oar 465 big/100 ml and prostin was 139 rg 00. The ood dcop es a7 108 i, CO, 163 meg, K 62 mEgh. (bomolyed ‘pecmenont Na 138 mail These legied aes were waforbemstly et fst linda I the “I0he acon wihaion, The’ babys Condlion coniirsed to" deteriorate, pup duet dicted wrt did’ not respond. fo sengledarerepig fo ale. of age, the ‘baby seemed ip ze ent, wor ie fo Tex rerpratoy died. Orel feedings tere intated fing 9 lof 109 ac A repeat Blood glucose, however, ab tht lime, asus repried being over 1000 sngfi00 1." €Or we 105 Eat ‘Batt, Na 138 mégii, Ch 108 mE}, cogen 37 g/10) il, aie ae! 12? io The ts, fade inflated, and 0 [arbor fide were goon By fo. for 7 Dra, It wae ‘inal ‘regtared ia ent don sing 398 Puce. Blood. glacore level deteraved Dror do the stat ofthe i. glncore ase Frain was reported os ove" 3000 mg/100 imide 108 Bet of age, the int nt i rdae nd rrpinctr) eet cd contd ot Sevreuetuced, Promcrton’ arte. thased lesue amounts of lucnie and acetone. Blood ‘det at his rie (LB prior to. dea) TRemeda glecate lve! of $21” mg/100 pd ‘no totum ecteas, ‘The cerute tells ggce geno mcs ee cuppa 7 cou de agi al ir ges ‘155 mg/100 ml de_proteinas, fi toed a eds 8367 glib, Beato feduamie, cise rerio de uns Fagen cud ec pee asec ole Tie ee Gr mais connie Secs Ue bat eaminerenot fice sainla 06 OEE g oi ime blond) Ne 58 Ei Ey S's a nnn ct empeos, 7ss pin ets step Tach Sans pee « ceca ae Aa 9 a et pels ern SES ch mcon dif Seem, be fuich sutimaadse 9] ge blocon se Sie ie per eo cd Sh ase Sr deers mone en pie Se fal rir 10 og a0 at we Shoe Mioanst nesters In nenes cis. Cbs. mig & 42 “mew Sets Reg NG ak ree titi ST mg/lod ml y sae we 2 sgt ir de as scones ingested i, ¢ cotratty eh plain fae penile Sar Ter tna nt gun enn en ene Peit'mevaneh co de GMs pt ‘Sramoar le ampere con sles aMDDR tecatennedie 2b pce wm Si sey eek de Sie iecets fee upton» 100 itn eth de at lt ato ae fssn eric 7 romana Pe pedo et SEP gene coos Usa ma dean fe sa Vea de Encino fe