Медицина в Кузбассе (Dec 2024)

CLINICAL CASE OF DIFFERENTIAL DIAGNOSIS OF HYPOGLYCEMIA SYNDROME

  • Елизавета Эдуардовна Епифанова,
  • Татьяна Сергеевна Еленская,
  • Владимир Вячеславович Павленко,
  • Евгения Александровна Каменева,
  • Юлия Андреевна Кокоулина

Journal volume & issue
Vol. 23, no. 4
pp. 114 – 117

Abstract

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The article presents a clinical case of insulinoma, which is the most common, hormone-producing tumor of the pancreas, manifested by hyperinsulinemic hypoglycemia. The prevalence of insulinoma in the general population is estimated to be about < 1 : 250000 cases. The manifestations of insulinoma often mimic diseases of the nervous system and the disease is mistaken for epilepsy, psychosis, or cerebrovascular disease, which leads to a delayed diagnosis. The most significant for diagnosis is the presence of the Whipple triad and the 72-hour fasting test. Here is a clinical case of differential diagnosis of hypoglycemia syndrome in a patient with insulinoma.

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