Childhood obesity has become an important management problem for the practicing pediatrician. Carbohydrate restrictive diets are being utilized in treatment with increasing frequency in recent years.1,2 Hyperuricemia during carbohydrate deprivation is a well-documented entity in adults,3,4 but has not been reported in children. In the following report we describe a child who developed severe hyperunicemia following a low-carbohydrate ketogenic regimen during the initial period of treatment of obesity.
CASE REPORT
R. F., a 10-year-old white girl, was admitted to North Shore University Hospital for management of severe exogenous obesity. She was the product of a normal pregnancy and uncomplicated delivery, and weighed 2,660 kg at birth.