hrp0098p3-75 | Diabetes and Insulin | ESPE2024

A Double Enigma: Co-existing Congenital Hypothyroidism and Autosomal Recessive Familial Hyperinsulinemic Hypoglycemia in a Neonate

Rai Versha , Ali Sanagar , Noor Ibrahim Mohsina , Riaz Maira

Congenital hypothyroidism (CH) and hyperinsulinemic hypoglycemia represent two distinct yet interrelated metabolic disorders in pediatric endocrinology. We report a comprehensive case study of a 14-day-old female neonate presenting with persistent hypoglycemia since birth, despite initial management with thyroxine for suspected CH. The neonate exhibited classical clinical features of CH, including lethargy, puffy face, and umbilical hernia, alongside a pertinent family history...