Abstract | UNLABELLED: CASE REPORT: Two patients with frequent and serious episodes of hypoglycemia are reported. In the 34-year-old female symptoms appeared with sweating, dizziness, trembling, nervousness and serious neuroglycopenic signs. In the 22-year-old male the main complaint was tympany, a rare and unusual sign of hypoglycemia, and intense feeling of esurience. The 24-hour fasting test was positive in both cases, i.e. it had to be stopped because of symptomatic hypoglycemia. No insulinoma could be localized, despite extensive search, therefore in both cases the diagnosis of adult-onset nesidioblastosis was set up, despite lack of histological confirmation. Diazoxide therapy resulted in symptom-free life for both patients. CONCLUSION:
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Authors | Erzsébet Kovács, Hajnalka Németh, Eva Pásztor, György Pfliegler |
Journal | Orvosi hetilap
(Orv Hetil)
Vol. 149
Issue 35
Pg. 1659-64
(Aug 31 2008)
ISSN: 0030-6002 [Print] Hungary |
Vernacular Title | Hyperinsulinaemiás hypoglykaemia felnottkorban. Esetismertetések és rövid áttekintés. |
PMID | 18713705
(Publication Type: Case Reports, English Abstract, Journal Article, Review)
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Topics |
- Adult
- Diagnosis, Differential
- Female
- Humans
- Hyperinsulinism
(complications, diagnosis)
- Hypoglycemia
(etiology)
- Male
- Nesidioblastosis
(complications, diagnosis)
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