Case 3: Hypoglycemia in an Infant with Cholestasis

摘要

An 8-week-old boy presents with 2 days of worsening jaundice, lethargy, and poor feeding, without fever, vomiting, or diarrhea. At term he weighed 3,400 g (43rd percentile), had hypoglycemia on day 1, and received hyperbilirubinemia phototherapy for 5 days. Physical examination is noteworthy for a lethargic and jaundiced boy weighing 4,300 g (8th percentile). The liver edge is 4 cm below the costal margin. The phallus is 1.7 x 0.7 cm, with no hypospadias, normal scrotum, and descended testes.