title: Facial flushing secondary to hypoglycemia.
abstract: Facial flushing is usually not associated with hypoglycemia. Diabetics treated with chlorpropamide can have an antabuse-like flushing with ingestion of alcohol, but flushing secondary to hypoglycemia per se has not been reported. The first case demonstrating that facial flushing can occur in insulin-induced hypoglycemia is described. This patient had marked erythematous facial flushing that was repeatable with each instance of hypoglycemia. Endocrine evaluation revealed no evidence of carcinoid or a pheochromocytoma in this patient and the facial flushing was unrelated to alcohol. Without insulin-induced hypoglycemia, this diabetic patient has had no further facial flushing in one year follow-up.
authors.affiliation: Division of Endocrinology and Metabolism, University of Arkansas for Medical Sciences, Little Rock.
authors.forename: K L
authors.initials: KL
authors.lastname: Bussell
authors.forename: F Y
authors.initials: FY
authors.lastname: Murphy
authors.forename: S A
authors.initials: SA
authors.lastname: Nicks
authors.forename: D L
authors.initials: DL
authors.lastname: Vesely
mesh_terms: D000368:Aged; D001786:Blood Glucose / Q000378:metabolism*; D003922:Diabetes Mellitus, Type 1 / Q000097:blood / Q000188:drug therapy; D005483:Flushing / Q000209:etiology*; D006801:Humans; D007003:Hypoglycemia / Q000150:complications*; D007328:Insulin / Q000009:adverse effects*; D008297:Male
chemical_list: D001786:Blood Glucose; D007328:Insulin