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

Abstract

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.

Keywords

insulinoma, hypoglycemic states, hormone-producing tumor

Author Biographies

Елизавета Эдуардовна Епифанова,
head of the department of endocrinology
Татьяна Сергеевна Еленская,
candidate of medical sciences, deputy chief physician for therapy
Владимир Вячеславович Павленко,
doctor of medical sciences, professor, professor of the department of hospital surgery
Евгения Александровна Каменева,
doctor of medical sciences, chief physician
Юлия Андреевна Кокоулина,
assistant of the department of hospital surgery

Article Details

Information about financing and conflict of interests

The study had no sponsorship.
The authors declare that they have no apparent or potential conflicts of interest related to the publication of this article.

How to Cite

Епифанова, Е. Э., Еленская, Т. С., Павленко, В. В., Каменева, Е. А., & Кокоулина, Ю. А. (2024). CLINICAL CASE OF DIFFERENTIAL DIAGNOSIS OF HYPOGLYCEMIA SYNDROME. Medicine in Kuzbass, 23(4), 114-117. https://doi.org/10.24412/2687-0053-2024-4-114-117

References

Yukina MYu, Nuralieva NF, Troshina EA, Kuznetsov NS, Platonova NM. The hypoglicemic syndrome (insulinoma): topical, pathomorphological, and genetic diagnostics and treatment (review, part 2). Problems of Endocrinology. 2017; 63(5): 346-355. Russian (Юкина М.Ю., Нуралиева Н.Ф., Трошина Е.А., Кузнецов Н.С., Платонова Н.М. Гипогликемический синдром (инсулинома): топическая, патоморфологическая и генетическая диагностика, лечение. Обзор литературы (часть 2) //Проблемы эндокринологии. 2017; 63(5): 346-355.) doi: 10.14341/probl2017635346-355

Sun M, Luo Y, You Y, Han X, Zhao Y, Han X, Zhao Y. Ectopic insulinoma: case report. BMC Surg. 2019; 19(1): 197. doi: 10.1186/s12893-019-0661-y

Ma H, Zhang X-P, Zhang Y, Lu H-D, Wang J-T, Zhang Y, Wu X-B. Pancreatic Insulinoma misdiagnosed as epilepsy for eight years: a case report and literature review. Intern Med. 2015; 54(12): 1519-1522. doi: 10.2169/internalmedicine.54.3708

Vaidakis D, Karoubalis J, Pappa T, Piaditis G, Zografos GN. Pancreatic insulinoma: current issues and trends. Hepatobiliary Pancreat Dis Int. 2010; 9(3): 234-241

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