title: [A case of factitious hypoglycemia with unusual presentation].
abstract: In this paper the Authors describe a case of factitious hypoglycemia in a 30-year-old nurse who came to the practitioner saying she was drug-addict. A careful history and the clinical examinations showed that the symptoms were due to hypoglycemic episodes. The finding of high plasma insulin levels together with low plasma C-peptide concentrations enabled us to exclude organic causes of hypoglycemia, suggesting the diagnosis of factitious hypoglycemia. After the patient was told we suspected a case of factitious hypoglycemia, the symptoms disappeared.
authors.affiliation: Università degli Studi di Pisa, Cattedra di Malattie del Ricambio.
authors.forename: P
authors.initials: P
authors.lastname: Marchetti
authors.forename: C
authors.initials: C
authors.lastname: Faloppa
authors.forename: A
authors.initials: A
authors.lastname: Zappella
authors.forename: R
authors.initials: R
authors.lastname: Navalesi
mesh_terms: D000328:Adult; D001786:Blood Glucose / Q000032:analysis; D002096:C-Peptide / Q000097:blood; D005162:Factitious Disorders / Q000523:psychology; D005260:Female; D006801:Humans; D007003:Hypoglycemia / Q000097:blood / Q000175:diagnosis; D007328:Insulin / Q000097:blood; D009728:Nursing Assistants
chemical_list: D001786:Blood Glucose; D002096:C-Peptide; D007328:Insulin
vernacular_title: Su di un caso di ipoglicemia factitia dalla presentazione insolita.