Congenital Hyperinsulinism - Types of Congenital Hyperinsulinism

Types of Congenital Hyperinsulinism

  • Transient neonatal hyperinsulinism
  • Focal hyperinsulinism
    • Paternal SUR1 mutation with clonal loss of heterozygosity of 11p15
    • Paternal Kir6.2 mutation with clonal loss of heterozygosity of 11p15
  • Diffuse hyperinsulinism
    • Autosomal recessive forms
      • SUR1 mutations
      • Kir6.2 mutations
      • Congenital disorders of glycosylation
    • Autosomal dominant forms
      • Glucokinase gain-of-function mutations
      • Hyperammonemic hyperinsulinism (glutamate dehydrogenase gain-of-function mutations)
      • Short chain acyl coenzyme A dehydrogenase deficiency
  • Beckwith-Wiedemann syndrome (thought to be due to hyperinsulinism but pathophysiology still uncertain: 11p15 mutation or IGF2 excess)

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