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Insulinoma in a young female patient with systemic lupus erythematosus: a case report.
Chen, Po-Hsun; Wang, Jun-Sing; Hwang, Jen-I; Lin, Shih-Yi; Sheu, Wayne H-H; Wu, Ya-Ju; Peng, Cheng-Ming; Lee, I-Te.
Afiliación
  • Chen PH; Division of Endocrinology and Metabolism, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.
  • Wang JS; Division of Endocrinology and Metabolism, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.
  • Hwang JI; Department of Radiology, Taichung Veterans General Hospital, Taichung, Taiwan.
  • Lin SY; Division of Endocrinology and Metabolism, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.
  • Sheu WH; Division of Endocrinology and Metabolism, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.
  • Wu YJ; Department of Pathology, Taichung Veterans General Hospital, Taichung, Taiwan.
  • Peng CM; Division of Endocrinology and Metabolism, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.
  • Lee IT; Division of Endocrinology and Metabolism, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan School of Medicine, National Yang-Ming University, Taipei, Taiwan School of Medicine, Chung Shan Medical University, Taichung, Taiwan.
Endocr Pract ; 20(12): e256-9, 2014 Dec.
Article en En | MEDLINE | ID: mdl-25148817
OBJECTIVE: Fasting hypoglycemia may occur in subjects with systemic lupus erythematosus (SLE) when accompanied with insulin-binding antibodies or insulin-receptor antibodies. However, insulinoma has not been reported in SLE subjects with hypoglycemia. METHODS: We present a case report and review the relevant literature. RESULTS: A 26-year-old female with underlying SLE experienced several episodes of neuropsychiatric symptoms in a fasting state. The steroid dosage was titrated up, but in vain. Timely imaging studies showed a pancreatic tumor, and insulinoma was proven by pathology. Hypoglycemia did not recur after surgery. CONCLUSION: Physicians should distinguish insulinoma from autoimmunity-mediated hypoglycemia in SLE patients with fasting hypoglycemia.

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Endocr Pract Asunto de la revista: ENDOCRINOLOGIA Año: 2014 Tipo del documento: Article País de afiliación: Taiwán Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Endocr Pract Asunto de la revista: ENDOCRINOLOGIA Año: 2014 Tipo del documento: Article País de afiliación: Taiwán Pais de publicación: Estados Unidos