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In this case report, we describe a rare cause of persistent hypoglycemia in a young infant. The case briefly highlights for the pediatric trainee the broad differential diagnosis for hypoglycemia, a commonly encountered laboratory abnormality in the young infant population and the importance of history and physical exam in arriving at a final diagnosis.doi:10.26420/austinpediatr.2017.1051 fatcat:arxzjdcizjhbdh3jhpv2gxwr2u