Hypoglyceamia in a Patient with a Solitary Fibrous Tumour

Okpe, Andrew and Ramsay, Kerri and Fernando, Isuru P. and Mudenha, Emily and Fernando, Devaka J. (2016) Hypoglyceamia in a Patient with a Solitary Fibrous Tumour. European Journal of Case Reports in Internal Medicine, 3 (3). pp. 1-3. ISSN 2284-2594

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Objective: To illustrate an unusual mechanism causing hypoglycaemia. Material and methods: A 76-year-old man presented with episodes of agitation and confusion and was resuscitated with oral glucose gel when found to be hypoglycaemic. Results: A CT scan for an abdominal mass confirmed a solitary fibrous tumour (SFT). The sarcoma multidisciplinary team suggested conservative management. The patient's episodic hypoglycaemia was managed with diet modification including corn-based starch, scheduled snacks and dexamethasone. Glucose levels were within normal range at discharge from hospital. The patient was referred to the palliative care team for follow-up. Conclusion: SFTs causing non-islet cell tumour hypoglycaemia are difficult to treat. KEYWORDS

Item Type: Article
Uncontrolled Keywords: Hypoglycaemia, Non Insulin mediated hypoglycaemia; Insulin like growth factor; Solitary fibrous tumour; Retroperitoneal tumour
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale)
Depositing User: Chiara D'Arpa
Date Deposited: 26 Sep 2016 15:51
Last Modified: 26 Sep 2016 15:51
URI: http://eprints.bice.rm.cnr.it/id/eprint/15142

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