| Autor: |
Viktoria Chatzimavridou Grigoriadou, Marti Boss, Amber Khan, Mark Kelly, Saurabh Jamdar, Safwaan Adam, Ashutosh Kapoor, Gwen Wark, Bilal Bashir, Peter J Trainer |
| Jazyk: |
angličtina |
| Rok vydání: |
2021 |
| Předmět: |
|
| Zdroj: |
Journal of the Endocrine Society |
| ISSN: |
2472-1972 |
| Popis: |
We present a clinical case highlighting the diagnostic challenges in a patient with an insulinoma. A 57-year-old lady initially presented with sweating on waking. Investigation documented a fasting blood glucose of 2 mmol/L (3.9-5.4) and the presence of anti-endomysial antibodies. On the basis of a diagnosis of Coeliac disease, the patient was commenced on a gluten free diet with apparent resolution of symptoms for 9 years. Subsequently, she re-presented with recurrent episodes of confusion which resolved with a ‘sugary’ drink. Consequently, she underwent a prolonged supervised fast: glucose 1.9 mmol/L (neuroglycopaenic symptoms), insulin 76 pmol/L (90% of insulinomas and this case underlines the utility of GLP-1R PET/CT in insulinoma localisation. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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