FACTITIOUSHYPOGLYCEMIA: A DIAGNOSIS NOT TO BE OVERLOOKED

Munchausen syndrome by proxy is a rare psychiatric disorder characterized by inducing symptoms of illness in a child by a close relative, usually the mother, leading to various consultations and more or less invasive medical interventions. Factitious hypoglycemia, a factitious disorder caused by the administration of insulin or other hypoglycemic agents, results in hypoglycemias with severe sequelae. Diagnosis relies on measuring insulin levels, which will be high, and C-peptide levels, which will be low or even undetectable. We report the case of a female infant presenting with factitious hypoglycemia due to an insulin injection, revealed by severe hypoglycemias.