人为性低血糖症。识别一种难以捉摸的病症的线索。
Factitious hypoglycemia. Clues to identifying an elusive disorder.
作者信息
Ensberg M, Gossain V V, Rovner D R
出版信息
Postgrad Med. 1986 Jan;79(1):79-82, 87-8. doi: 10.1080/00325481.1986.11699237.
Abstract
Factitious hypoglycemia is similar in presentation to insulinoma and occurs most commonly in persons with ready access to insulin. Diagnosis previously was based on circumstantial evidence but now can be confirmed by demonstration of high insulin levels and low C-peptide levels in the presence of hypoglycemia. Treatment is primarily psychiatric, and success so far is limited.
摘要
人为性低血糖在临床表现上与胰岛素瘤相似，最常见于容易获取胰岛素的人群。以前的诊断基于间接证据，但现在可以通过在低血糖情况下证明胰岛素水平高和C肽水平低来确诊。治疗主要是心理治疗，目前的成功率有限。
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