<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0035-0052</journal-id>
<journal-title><![CDATA[Revista mexicana de pediatría]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. pediatr.]]></abbrev-journal-title>
<issn>0035-0052</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Pediatría A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0035-00522021000400152</article-id>
<article-id pub-id-type="doi">10.35366/102780</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Hipoglucemia grave recurrente secundaria a trastorno facticio por poderes]]></article-title>
<article-title xml:lang="en"><![CDATA[Recurrent severe hypoglycemia secondary to factitious disorder by proxy]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Osorio-Acuña]]></surname>
<given-names><![CDATA[Lucía Carolina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Angulo-Mosquera]]></surname>
<given-names><![CDATA[Mario]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Salazar-Solarte]]></surname>
<given-names><![CDATA[Aura María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aristizabal-Henao]]></surname>
<given-names><![CDATA[Carolina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torres-Canchala]]></surname>
<given-names><![CDATA[Laura]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez-Castro]]></surname>
<given-names><![CDATA[Juan Fernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Fundación Valle del Lili  ]]></institution>
<addr-line><![CDATA[Cali ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Icesi Facultad de Ciencias de la Salud ]]></institution>
<addr-line><![CDATA[Cali ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Centro de Investigaciones Fundación Valle del Lili ]]></institution>
<addr-line><![CDATA[Cali ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2021</year>
</pub-date>
<volume>88</volume>
<numero>4</numero>
<fpage>152</fpage>
<lpage>155</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0035-00522021000400152&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0035-00522021000400152&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0035-00522021000400152&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Objetivo:  Describir un paciente pediátrico con trastorno facticio por poderes o síndrome de Münchausen.  Descripción del caso:  Paciente femenino de dos años con antecedente de una hermana que falleció, pero que también tuvo cuadros de hipoglucemia. Antes del ingreso más reciente, ya había registro de hospitalizaciones previas por hipoglucemia. En esta última ocasión acudió con astenia y un síncope, documentándose glucemia de 22 mg/dL. Se realizaron estudios para determinar causa de hipoglucemia, pero todos fueron normales. Mediante intervención por Psiquiatría, la madre confesó administrar insulina a la paciente de manera exógena.  Conclusión:  El trastorno facticio por poderes es una forma grave de maltrato infantil, en donde el cuidador realiza acciones para generar morbilidad. Su identificación temprana evitará su perpetuación y un posible desenlace fatal.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Objective:  To describe a pediatric patient with factitious disorder by proxy or Münchausen syndrome.  Case description:  A two-year-old female patient with a history of a sister who died, but who also had repeated hypoglycemia. Before the most recent admission, the patient had been hospitalized for hypoglycemia on several occasions. On this last occasion, she presented with asthenia and syncope, documenting a blood glucose level of 22 mg / dL. All laboratory studies to determine the cause of hypoglycemia were normal. Through psychiatric intervention, the mother confessed that she administered insulin to the patient exogenously.  Conclusion:  Factitious disorder by proxy is a serious form of child abuse, where the caregiver performs actions to generate morbidity. Its early identification will prevent its perpetuation and a possible fatal outcome.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Hipoglucemia]]></kwd>
<kwd lng="es"><![CDATA[Münchausen]]></kwd>
<kwd lng="es"><![CDATA[trastorno facticio por poderes]]></kwd>
<kwd lng="es"><![CDATA[maltrato infantil]]></kwd>
<kwd lng="en"><![CDATA[Hypoglycemia]]></kwd>
<kwd lng="en"><![CDATA[Münchausen]]></kwd>
<kwd lng="en"><![CDATA[factitious disorder by proxy]]></kwd>
<kwd lng="en"><![CDATA[child abuse]]></kwd>
</kwd-group>
</article-meta>
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