[Factitious hypoglycemia--Munchausen syndrome in diabetes mellitus].
The medical history of a 43-year-old non-insulin-dependent diabetic patient is presented. The exact diagnosis of the cause of repetitive and severe hypoglycaemic episodes proved to be difficult. Finally, high serum insulin and low C-peptide values were found in peripheral venous blood during hypoglycaemia resulting in an elevated (> 1.0) molar ratio of insulin to C-peptide. The laboratory findings were assessed as consequences of surreptitious insulin administration. Factitious hypoglycaemia could be considered as a clinical manifestation of Munchhausen syndrome. Confronting the patient with evidences of surreptitious insulin injections, hypoglycaemic episodes abruptly discontinued to occur.
Fövárosi Bajcsy-Zsilinszky Kórház III. Belosztály.
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Jermendy
D000328:Adult; D002096:C-Peptide / Q000097:blood; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000150:complications* / Q000523:psychology; D005260:Female; D006801:Humans; D007003:Hypoglycemia / Q000139:chemically induced / Q000523:psychology*; D007328:Insulin / Q000008:administration & dosage / Q000009:adverse effects* / Q000097:blood; D007331:Insulin Coma / Q000209:etiology; D009110:Munchausen Syndrome / Q000209:etiology* / Q000523:psychology; D012651:Self Medication
D002096:C-Peptide; D007328:Insulin
Hypoglykaemia factitia--Münchhausen-syndroma diabetes mellitusban.