INSULINOMA IN A YOUNG FEMALE PATIENT WITH SYSTEMIC LUPUS ERYTHEMATOSUS: A CASE REPORT

被引：1

作者：

Chen, Po-Hsun ^{[1
]}

Wang, Jun-Sing ^{[1
]}

Hwang, Jen-I ^{[2
]}

Lin, Shih-Yi ^{[1
]}

Sheu, Wayne H-H ^{[1
]}

Wu, Ya-Ju ^{[3
]}

Peng, Cheng-Ming ^{[1
]}

Lee, I-Te ^{[1
,4
,5
]}

机构：

[1] Taichung Vet Gen Hosp, Dept Internal Med, Div Endocrinol & Metab, Taichung 40705, Taiwan

[2] Taichung Vet Gen Hosp, Dept Radiol, Taichung 40705, Taiwan

[3] Taichung Vet Gen Hosp, Dept Pathol, Taichung 40705, Taiwan

[4] Natl Yang Ming Univ, Sch Med, Taipei 112, Taiwan

[5] Chung Shan Med Univ, Sch Med, Taichung, Taiwan

来源：

ENDOCRINE PRACTICE | 2014年 / 20卷 / 12期

关键词：

RECEPTOR ANTIBODIES; HYPOGLYCEMIA; MANAGEMENT; DISEASE;

D O I：

10.4158/EP14181.CR

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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.

引用

页码：E256 / E259

页数：4

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