Differential diagnosis
- Meningitis
- Head trauma
- Brain tumour
- Disseminated intra-vascular coagulation
- Ketoacidosis (the accumulation of ketone bodies in the blood)
- Dehydration due to chronic diarrhoea
- Adrenal insufficiency
- Immune dysregulation, polyendocrinopathy, enteropathy X-linked disease (IPEX)
(a rare disease linked to the dysfunction of the transcriptional activator FoxP3) - Autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy (APECED) (A subtype of mucocutaneous candidiasis characterised by increased immunoglobulins and
decreased IgA, with progressive decline in parathyroid and adrenal function) - Child abuse

