5 month old child with hepatomegaly, Ketosis, hyperuricemia and malaise, diagnosis ?: (A) Diabetes, (B) Urea cycle defect, (C) Glycogen storage disease, (D) Mucopolysacchridosis
Answer is C. Glycogen storage disorders : hepatomegaly failure to thrive hypoglycemia ketosis acidosis hyperlipidemia intercurrent infections Ref : ESSENTIAL PEDIATRICS,O.P.GHAI, PG NO:636, 7th edition