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Factitious hyperinsulinemic hypoglycemia: confirmation of the diagnosis by a species-specific insulin radioimmunoassay.
J Endocrinol Invest. 1987 Dec; 10(6):601-4.JE

Abstract

Surreptitious self-administration of insulin is an important cause of hypoglycemia. A 28-year-old female hospital ward clerk presented with hypoglycemia associated with an elevated plasma insulin level and a low plasma C-peptide concentration. Factitious illness was denied by the patient until it was definitively proven by using a species-specific insulin radioimmunoassay that the type of insulin circulating at the time of hypoglycemia was of animal rather than of human origin. The differential diagnosis of hypoglycemia associated with hyperinsulinemia and the current laboratory methods which may be employed to distinguish between factitious hypoglycemia and endogenous hyperinsulinism are discussed.

Authors+Show Affiliations

Endocrine Division, Mount Sinai Hospital, Toronto, Ontario, Canada.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

3326893

Citation

Walfish, P G., et al. "Factitious Hyperinsulinemic Hypoglycemia: Confirmation of the Diagnosis By a Species-specific Insulin Radioimmunoassay." Journal of Endocrinological Investigation, vol. 10, no. 6, 1987, pp. 601-4.
Walfish PG, Feig DS, Bauman WA. Factitious hyperinsulinemic hypoglycemia: confirmation of the diagnosis by a species-specific insulin radioimmunoassay. J Endocrinol Invest. 1987;10(6):601-4.
Walfish, P. G., Feig, D. S., & Bauman, W. A. (1987). Factitious hyperinsulinemic hypoglycemia: confirmation of the diagnosis by a species-specific insulin radioimmunoassay. Journal of Endocrinological Investigation, 10(6), 601-4.
Walfish PG, Feig DS, Bauman WA. Factitious Hyperinsulinemic Hypoglycemia: Confirmation of the Diagnosis By a Species-specific Insulin Radioimmunoassay. J Endocrinol Invest. 1987;10(6):601-4. PubMed PMID: 3326893.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Factitious hyperinsulinemic hypoglycemia: confirmation of the diagnosis by a species-specific insulin radioimmunoassay. AU - Walfish,P G, AU - Feig,D S, AU - Bauman,W A, PY - 1987/12/1/pubmed PY - 1987/12/1/medline PY - 1987/12/1/entrez SP - 601 EP - 4 JF - Journal of endocrinological investigation JO - J Endocrinol Invest VL - 10 IS - 6 N2 - Surreptitious self-administration of insulin is an important cause of hypoglycemia. A 28-year-old female hospital ward clerk presented with hypoglycemia associated with an elevated plasma insulin level and a low plasma C-peptide concentration. Factitious illness was denied by the patient until it was definitively proven by using a species-specific insulin radioimmunoassay that the type of insulin circulating at the time of hypoglycemia was of animal rather than of human origin. The differential diagnosis of hypoglycemia associated with hyperinsulinemia and the current laboratory methods which may be employed to distinguish between factitious hypoglycemia and endogenous hyperinsulinism are discussed. SN - 0391-4097 UR - https://www.unboundmedicine.com/medline/citation/3326893/Factitious_hyperinsulinemic_hypoglycemia:_confirmation_of_the_diagnosis_by_a_species_specific_insulin_radioimmunoassay_ L2 - https://link.springer.com/article/10.1007/BF03347007 DB - PRIME DP - Unbound Medicine ER -