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胰岛素瘤合并继发性肾上腺皮质功能减退1例

[A case of insulinoma complicated with secondary adrenal insufficiency].

作者信息

Li Yao, Chen Hui

机构信息

Department of Endocrinology, the Second Hospital of Lanzhou University, Lanzhou 730030, China.

出版信息

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.

Abstract

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.

摘要

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。

相似文献

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[A case of insulinoma complicated with secondary adrenal insufficiency].胰岛素瘤合并继发性肾上腺皮质功能减退1例
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.
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Adverse effect of phenytoin on glucocorticoid replacement in a child with adrenal insufficiency.
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本文引用的文献

10
Contribution of cortisol to glucose counterregulation in humans.皮质醇对人体葡萄糖反向调节的作用。
Am J Physiol. 1989 Jul;257(1 Pt 1):E35-42. doi: 10.1152/ajpendo.1989.257.1.E35.

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