Li Yao, Chen Hui
Department of Endocrinology, the Second Hospital of Lanzhou University, Lanzhou 730030, China.
Zhejiang Da Xue Xue Bao Yi Xue Ban. 2017 May 25;46(6):662-665. doi: 10.3785/j.issn.1008-9292.2017.12.14.
A middle-aged male patient with recurrent hypoglycemia was diagnosed as insulinoma according to the symptoms and the laboratory tests. Laboratory tests also showed low cortisol and adrenocortico-tropic hormone (ACTH) levels, therefore adrenal insufficiency was diagnosed and hydrocortisone was given. The hormone replacement therapy was terminated after surgery, and ACTH and cortisol levels returned to normal.
一名患有复发性低血糖症的中年男性患者,根据症状和实验室检查被诊断为胰岛素瘤。实验室检查还显示皮质醇和促肾上腺皮质激素(ACTH)水平较低,因此诊断为肾上腺功能不全,并给予氢化可的松治疗。手术后激素替代治疗终止,ACTH和皮质醇水平恢复正常。