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Table 2 Side effects in medically treated patients with CHI: overview of side effects that occurred while on therapy with one or more of the analyzed medication. Side effects were linked to the corresponding dose that was applied. Note double entries of patients that experienced more than one side effect

From: Long-term medical treatment in congenital hyperinsulinism: a descriptive analysis in a large cohort of patients from different clinical centers

Drug

n treated

Side effects

Frequency

Dose (n dose given)

DZX

   

mg/kg • d

DZX treated n = 644

hypertrichosis

n = 170 (52 %)

11.6 (±2.9), range 5–30 (n = 132)

side effects mentioned n = 325 (50 %)

fluid retention/electrolyte imbalances/edema

n = 99 (30 %)

12.3 (±2.8), range 8.5–17.5 (n = 48)

vomiting/poor appetite

n = 40 (12 %)

13.3 (±8.2), range 10–60 (n = 39)

bone marrow suppression

n = 11 (3 %)

10.4 (±0.46), range 10–10.8 (n = 4)

heart failure

n = 12 (3.7 %)

16 (±6.7), range 7.5–30 (n = 7)

anaphylactic reaction

n = 3 (0.9 %)

8.5 (n = 1)

renal failure

n = 2 (0.6 %)

60 (n = 1)

sinustachycardia

n = 1 (0.3 %)

up to 15 (n = 1)

no (major) side effects (specifically mentioned)

n = 39 (12 %)

13.2 (±2.4), range 5–15 (n = 34)

STA

   

μg/kg • d or otherwise specified

STA treated n = 355

tachyphylaxis

n = 20 (18 %)

19.5 (±7.3), range 7.1–26.3 (n = 18)

side effects mentioned n = 111 (31 %)

GI-symptoms*

n = 23 (21 %)

17.5 (±9.5), range 6.6–27.4 (n = 20)

(transient) impairment in growth velocity

n = 15 (14 %)

17.8 (±13.5), range 7.2–55 (n = 14)

abnormal GH, IGF, IGF-BP (no growth impairment)

n = 4 (3.6 %)

25.8 (±0.72), range 25–26.3 (n = 3)

necrotizing enterocolitis

n = 8 (7 %)

21.5 (±4.7), range 15–27 (n = 6)

induration nodules/hematoma at injection site

n = 5 (4.5 %)

120 mg • month (n = 2)

decline in weight

n = 3 (2.7 %)

25 (n = 1)

asymptomatic gallstones

n = 3 (2.7 %)

33.9 (±24.8), range 6.6–55 (n = 3)

cholestatic jaundice

n = 1 (0.9 %)

40 (n = 1)

elevated liver enzymes

n = 3 (2.7 %)

16.8 (±11.4), range 10–30 (n = 3)

anaphylactic reaction

n = 1 (0.9 %)

not specified

normal growth velocity (specifically mentioned)

n = 52 (47 %)

19 (±8.7), range 8–55 (n = 32) 100 (±15.5) mg • month, range 90–120 (n = 6)

GLC

   

mg/kg • d or otherwise specified

GLC treated n = 15

catheter obstruction

n = 9 (60 %)

0.33 (±0.23), range 0.026–0.8 (n = 9)

side effects mentioned n = 15 (100 %)

erythema necrolyticum migrans

n = 4 (27 %)

0.3 (±0.12), range 0.22–0.46 (n = 4)

insulin autoantibodies

n = 2 (13 %)

0.2 (n = 1), 1.4 mg • d (n = 1)

subcutaneous infiltrates

n = 1 (7 %)

5 mg • d (n = 1)

no side effects (specifically mentioned)

n = 1 (7 %)

0.21 (n = 1)

  1. *GI-symptoms: gastrointestinal symptoms, include abdominal discomfort, fatty stock, diarrhea, unwillingness to eat; °hematoma was notified three times out of 70 i.m. injections in a total of ten patients treated with lanreotide
  2. DZX diazoxide, STA somatostatin analogue, GLC glucagon, GH growth hormone, IGF insulin-like growth factor, IGF-BP insulin-like growth factor binding protein