Publications by authors named "Michal Bielak"
Article Synopsis
- Hyperinsulinaemic hypoglycaemia (HH) is a common cause of persistent low blood sugar in infants, often triggered by congenital hyperinsulinism (CHI) which presents mostly in early infancy with a variety of symptoms, including poor feeding and seizures.
- Diagnosis of CHI involves low plasma glucose levels paired with detectable insulin and C-peptide, and advanced imaging like (18)F-DOPA PET is used to determine the specific type of HH.
- Treatment primarily involves diazoxide, but some patients may not respond and alternative medications or surgical options may be necessary.
Corneal transplantation is the most effective treatment for corneal blindness. Standard planned keratoplasties have a high success rate. Conditions such as active inflammation at the time of surgery, the presence of ocular surface disease, previous graft disease, or neovascularization make them more susceptible to rejection.
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