Hypoglycemia and decreased insulin requirement caused by malignant insulinoma in a type 1 diabetic patient: when the hoof beats are from a zebra, not a horse.

Autor: Gjelberg HK; Department of Pathology Haukeland University Hospital Bergen Norway., Hoem D; Department of Gastrointestinal Surgery Haukeland University Hospital Bergen Norway., Verbeke CS; Institute of Clinical Medicine University of Oslo Oslo Norway.; Department of Pathology Oslo University Hospital, Rikshospitalet Oslo Norway., Eide J; Department of Pathology Haukeland University Hospital Bergen Norway., Cooper JG; Department of Medicine Stavanger University Hospital Stavanger Norway., Molven A; Department of Pathology Haukeland University Hospital Bergen Norway.; Gade Laboratory for Pathology Department of Clinical Medicine University of Bergen Bergen Norway.; KG Jebsen Center for Diabetes Research Faculty of Medicine and Dentistry University of Bergen Bergen Norway.
Jazyk: angličtina
Zdroj: Clinical case reports [Clin Case Rep] 2017 Apr 06; Vol. 5 (6), pp. 761-768. Date of Electronic Publication: 2017 Apr 06 (Print Publication: 2017).
DOI: 10.1002/ccr3.927
Abstrakt: Insulinomas are uncommon tumors, and in patients with diabetes mellitus they are extremely rare. We describe a patient with type 1 diabetes who developed malignant insulinoma. When hypoglycemic episodes persist in a patient with diabetes and treatment-induced and other causes of hypoglycemia have been ruled out, an insulin-producing tumor should be considered.
Databáze: MEDLINE
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