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Hyperinsulinism due to HNF4A deficiency is a form of diazoxide-sensitive diffuse hyperinsulinism (DHI), characterized by macrosomia, transient or persistent hyperinsulinemic hypoglycemia (HH), responsiveness to diazoxide and a propensity to develop maturity-onset diabetes of the young subtype 1 (MODY-1).
Features include very common findings: Agitation, Hyperinsulinemic hypoglycemia, Hyperinsulinemia, and Excessive sweating (hyperhidrosis) and others; and common findings: Protein in the urine (proteinuria), Intellectual disability, Seizure, and Renal Fanconi syndrome and others.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Digestive system | 6 | Enlarged liver (hepatomegaly), Vomiting, Diarrhea |
Phenotype severity distribution: 21 very common features, 12 common features.
Estimated prevalence: Unknown (Unknown prevalence).
No clinical trials have been registered for hyperinsulinism due to HNF4A deficiency.
1 publication has been identified in PubMed for hyperinsulinism due to HNF4A deficiency. Research spans Case Report / Case Series (100%).
Maines E (2025). [PMID: 40609522](https://pubmed.ncbi.nlm.nih.gov/40609522/). *Horm Res Paediatr*. [Case Report / Case Series]
Data assembled from 4 of 12 sources · Last updated Sep 19, 2026, 4:32 PM UTC
European rare disease database
Genetic and Rare Diseases Info Center
Brain and nerves |
5 |
Agitation, Intellectual disability, Seizure |
Kidneys and urinary system | 2 | Protein in the urine (proteinuria), Renal Fanconi syndrome |
Pregnancy and birth | 2 | Neonatal hypotonia, Neonatal hypoglycemia |
Lab test results | 2 | Elevated circulating hepatic transaminase concentration, Elevated circulating alkaline phosphatase concentration |
Skin | 1 | Excessive sweating (hyperhidrosis) |
Muscles | 1 | Neonatal hypotonia |
Heart and blood vessels | 1 | Tachycardia |
Bones and joints | 1 | Hypophosphatemic rickets |
Metabolism | 1 | Metabolic ketoacidosis |