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肿瘤诱导的低血糖症:一例罕见病例报告及文献综述

Tumor-Induced Hypoglycemia: An Unusual Case Report and Review of Literature.

作者信息

Abdulhadi Basma, Anastasopoulou Catherine, Lekprasert Patamaporn

机构信息

Department of Endocrinology, University of Alabama at Birmingham, Birmigham, Alabama.

Department of Endocrinology, Einstein Medical Center, Philadelphia, Pennsylavania.

出版信息

AACE Clin Case Rep. 2020 Dec 28;7(1):80-83. doi: 10.1016/j.aace.2020.11.002. eCollection 2021 Jan-Feb.

Abstract

OBJECTIVE

To describe a rare case of pheochromocytoma presenting with hypoglycemia.

METHODS

We describe a rare case of pheochromocytoma presenting with a hypoglycemic seizure. Our article includes our differentials, work up, and management.

RESULTS

Our patient had non-islet-cell tumor hypoglycemia that was non-insulin mediated, as noted by low insulin levels. His hypoglycemia was likely multifactorial and mediated by different mechanisms. We describe the rare case and review the causes of tumor-induced hypoglycemia.

CONCLUSION

Pheochromocytomas can rarely present with hypoglycemia and are associated with a poor prognosis.

摘要

目的

描述一例表现为低血糖的嗜铬细胞瘤罕见病例。

方法

我们描述了一例表现为低血糖发作的嗜铬细胞瘤罕见病例。我们的文章包括鉴别诊断、检查及治疗。

结果

我们的患者患有非胰岛细胞瘤性低血糖,为非胰岛素介导,胰岛素水平较低可证明。其低血糖可能是多因素的,由不同机制介导。我们描述了这一罕见病例并回顾了肿瘤诱导性低血糖的病因。

结论

嗜铬细胞瘤很少表现为低血糖,且预后不良。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea48/7924146/ba5b4db1ffad/gr1.jpg

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