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Case 1 Six monts old female with AKT2 mutation (c.49GA (p.E17K) has showed NkHH. Regular feeding had been unsuccesful for treating the hypoglycemia and proptosis has been getting even worse. Sirolimus treatment is begun at 36 months of age. Resultantly, blood glucose (BG) levels happen increased to normal amounts. Situation 2 In a male case with PTEN mutation (p.G132V (c.395GT), Persistent NkHH has actually made an appearance at 16 years of age (fa