McLigeyo S O, Mbui J, Kungu A, Amayo E, Ogendo S W
College of Health Sciences, Department of Medicine, University of Nairobi, Kenya.
East Afr Med J. 1995 Jul;72(7):465-7.
A 50-year-old female presented with a five months history of recurrent attacks of dizziness, sweatiness, tremors and fainting with loss of consciousness. These were found to be due to hypoglycaemic episodes with blood sugars less than 1 mmol/l and were treated as such. A diagnosis of insulinoma was initially considered, but the patient turned out to have fibrosarcoma of the lung, a rare lung tumour. She also had finger and toe clubbing and features of hypertrophic pulmonary osteoarthropathy.
一名50岁女性，有五个月反复发作头晕、出汗、震颤及晕厥伴意识丧失的病史。检查发现这些症状是由血糖低于1毫摩尔/升的低血糖发作所致，并据此进行了治疗。最初考虑诊断为胰岛素瘤，但该患者实际患的是肺纤维肉瘤，一种罕见的肺部肿瘤。她还伴有杵状指（趾）及肥厚性肺性骨关节病的表现。
