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Factitious hypoglycemia: an unusual clinical picture within Von Münchausen's syndrome.
Ital J Surg Sci. 1983; 13(1):41-4.IJ

Abstract

Two cases of hyperinsulinism from insulin self-administration are described, both patients being admitted to hospital with a diagnosis of insulinoma. In the first case, the diagnosis was clarified after a left pancreatectomy elsewhere, thanks to the discovery of a bottle of insulin. In the second case, the diagnosis was confirmed by the measurement of C-peptide during a hypoglycemic attack. The simultaneous sharp decrease in glucose levels, an exceptional increase in insulinaemia and a reduction or disappearance of serum C-peptide is indicative of this particular type of hyperinsulinism. The two cases described here were remarkably similar. Apart from the most common features, both reported a severe hypoglycemic syndrome of recent onset; negative tolbutamide and calcium tests; a frequent relapse shortly after glucose administration.

Authors

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Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

6874318

Citation

Biliotti, G C., et al. "Factitious Hypoglycemia: an Unusual Clinical Picture Within Von Münchausen's Syndrome." The Italian Journal of Surgical Sciences, vol. 13, no. 1, 1983, pp. 41-4.
Biliotti GC, Vestrini G, Tonelli P, et al. Factitious hypoglycemia: an unusual clinical picture within Von Münchausen's syndrome. Ital J Surg Sci. 1983;13(1):41-4.
Biliotti, G. C., Vestrini, G., Tonelli, P., Salvietti, A., & Fucini, C. (1983). Factitious hypoglycemia: an unusual clinical picture within Von Münchausen's syndrome. The Italian Journal of Surgical Sciences, 13(1), 41-4.
Biliotti GC, et al. Factitious Hypoglycemia: an Unusual Clinical Picture Within Von Münchausen's Syndrome. Ital J Surg Sci. 1983;13(1):41-4. PubMed PMID: 6874318.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Factitious hypoglycemia: an unusual clinical picture within Von Münchausen's syndrome. AU - Biliotti,G C, AU - Vestrini,G, AU - Tonelli,P, AU - Salvietti,A, AU - Fucini,C, PY - 1983/1/1/pubmed PY - 1983/1/1/medline PY - 1983/1/1/entrez SP - 41 EP - 4 JF - The Italian journal of surgical sciences JO - Ital J Surg Sci VL - 13 IS - 1 N2 - Two cases of hyperinsulinism from insulin self-administration are described, both patients being admitted to hospital with a diagnosis of insulinoma. In the first case, the diagnosis was clarified after a left pancreatectomy elsewhere, thanks to the discovery of a bottle of insulin. In the second case, the diagnosis was confirmed by the measurement of C-peptide during a hypoglycemic attack. The simultaneous sharp decrease in glucose levels, an exceptional increase in insulinaemia and a reduction or disappearance of serum C-peptide is indicative of this particular type of hyperinsulinism. The two cases described here were remarkably similar. Apart from the most common features, both reported a severe hypoglycemic syndrome of recent onset; negative tolbutamide and calcium tests; a frequent relapse shortly after glucose administration. SN - 0392-3525 UR - https://www.unboundmedicine.com/medline/citation/6874318/Factitious_hypoglycemia:_an_unusual_clinical_picture_within_Von_Münchausen's_syndrome_ L2 - http://www.diseaseinfosearch.org/result/9680 DB - PRIME DP - Unbound Medicine ER -