Facial flushing secondary to hypoglycemia.
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.
Bussell
K L
KL
Division of Endocrinology and Metabolism, University of Arkansas for Medical Sciences, Little Rock.
Murphy
F Y
FY
Nicks
S A
SA
Vesely
D L
DL
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
D001786:Blood Glucose; D007328:Insulin