Losada López Inés, Nicolau Ramis Juana Ana, Gómez Gómez Luis Alberto, Rodríguez Rodríguez Irene, Masmiquel Comas Luis
Servicio de Medicina Interna, Servicio de Endocrinología. Hospital Son Llàtzer, Palma de Mallorca, Islas Baleares, España.
Endocrinol Nutr. 2009 Mar;56(3):143-6. doi: 10.1016/S1575-0922(09)70846-0. Epub 2009 May 18.
Hypoglycemia is a common emergency, and is usually due to insulin therapy or oral hypoglycemic treatment in diabetic patients. In some cases, hypoglycemia can be a paraneoplastic sign. We report the case of a 61-year-old woman with a malignant peritoneal mesothelioma, who was admitted to hospital because of diminished consciousness. The final diagnosis was paraneoplastic hypoglycemia with a positive response to glucagon. The patient was finally discharged with glucagon perfusion.