Pediatric endocrinology

Natural History of the Hyperinsulinism/Hyperammonemia Syndrome: A Retrospective Review Incorporating Patient-Centered Data

Horm Res PaediatrPublished Retrospective review

Authors' conclusion

Our findings underscore the importance of longitudinal endocrine and neuropsychological follow-up for patients with HI/HA syndrome and demonstrate the potential value of patient-driven registry data to address persistent knowledge gaps in the natural history of rare diseases.

Study context

Population
Patients with hyperinsulinism/hyperammonemia (HI/HA) syndrome
Participants
66 vs 15
Exposure
Medical record vs HI Global Registry (HIGR)
  • Medical recordn = 66
  • HIGRn = 15
Outcome
Treatment and neurodevelopmental outcomes
Methodological detailsmulticentre, patient-centered registry data
  • Multicentre
  • Patient-centered registry data

Main finding

As reported in the abstract

Treated with diazoxide, medical record cohort
80%
Treated with diazoxide, HIGR
82%
Epilepsy, medical record cohort
29%
Epilepsy, HIGR
33%
Neurodevelopmental issues, medical record cohort
64%
Neurodevelopmental issues, HIGR
73%

Observational data: associations, not effects.

Further findings

Age at last follow-up / survey completion

Original publication

Natural History of the Hyperinsulinism/Hyperammonemia Syndrome: A Retrospective Review Incorporating Patient-Centered Data. Horm Res Paediatr. Published 14 April 2026. doi:10.1159/000551535

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