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胰岛素瘤:年轻女性低血糖的罕见病因。

Insulinoma: A rare cause of hypoglycemia in a young female.

作者信息

Kelash Fnu, Mulinda James

机构信息

Carilion Clinic, Roanoke, VA, USA.

出版信息

J Community Hosp Intern Med Perspect. 2014 Sep 29;4(4). doi: 10.3402/jchimp.v4.25093. eCollection 2014.

Abstract

Insulinoma is an exceedingly uncommon pancreatic islet cell neuroendocrine tumor. The estimated incidence is approximately four cases per million individuals per year and accounts for 60% of islets cell tumors. It causes glycopenic symptoms which includes headache, feeling irritable, confused, seizure or coma and leads to catecholamine excess which includes rapid heartbeat, sweating, palpitations and feelings of hunger. Early detection of the tumor prevents recurrent episodes of lethal hypoglycemia.

摘要

胰岛素瘤是一种极为罕见的胰岛细胞神经内分泌肿瘤。估计发病率约为每年每百万人中有4例,占胰岛细胞瘤的60%。它会引发低血糖症状,包括头痛、易怒、意识模糊、癫痫发作或昏迷,并导致儿茶酚胺过量,包括心跳加速、出汗、心悸和饥饿感。肿瘤的早期发现可预防致命性低血糖的反复发作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d62/4185142/a21ef69f4552/JCHIMP-4-25093-g001.jpg

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