· Exophthalmos, macroglossia, gigantism
· Associated congenital heart disease
· Polycythemia, visceromegaly, omphalocele
· Hepatocellular cancer in older children
· Severe neonatal hypoglycemia due to islet cell hyperplasia
· Glucose infusion usually required
· Impaired renal drug excretion
· Potentially difficult airway
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