Abstract | OBJECTIVE: METHODS: RESULTS: Metabolic variables were consistent with the diagnosis of hyperinsulinemic hypoglycemia. Magnetic resonance imaging revealed the presence of a side branch intraductal papillary mucinous tumor that had been stable for more than 1 year. The results of the calcium-stimulated insulin release study were consistent with nonlocalized hypersecretion of insulin. A trial of frequent small feedings failed to prevent hypoglycemia. On the basis of reports of successful treatment of childhood nesidioblastosis, the patient was then prescribed nifedipine, 30 mg daily. She has subsequently remained free of symptomatic hypoglycemia for 20 months. CONCLUSION:
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Authors | Nina Guseva, David Phillips, John P Mordes |
Journal | Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists
(Endocr Pract)
2010 Jan-Feb
Vol. 16
Issue 1
Pg. 107-11
ISSN: 1934-2403 [Electronic] United States |
PMID | 19625246
(Publication Type: Case Reports, Journal Article)
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Chemical References |
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Topics |
- Aged
- Female
- Humans
- Hyperinsulinism
(diagnosis, drug therapy)
- Hypoglycemia
(diagnosis, drug therapy)
- Nifedipine
(therapeutic use)
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