title: Hyperglycemia as a paraneoplastic endocrinopathy in renal cell carcinoma: a case report and review of the literature.
abstract: A case of renal cell carcinoma presenting with severe hyperglycemia, ketoacidosis, and hyperosmolar coma is described. Hyperglycemia was difficult to control but improved dramatically after nephrectomy and required no further insulin therapy. Hyperglycemia as a paraneoplastic endocrinopathy in renal cell carcinoma is suggested.
authors.affiliation: Department of Internal Medicine, Creighton University, Omaha, Nebraska.
authors.forename: B A
authors.initials: BA
authors.lastname: Jobe
authors.forename: M H
authors.initials: MH
authors.lastname: Bierman
authors.forename: F J
authors.initials: FJ
authors.lastname: Mezzacappa
mesh_terms: D018262:Adenocarcinoma, Clear Cell / Q000150:complications*; D000368:Aged; D002292:Carcinoma, Renal Cell / Q000150:complications*; D006801:Humans; D006943:Hyperglycemia / Q000175:diagnosis / Q000209:etiology*; D007680:Kidney Neoplasms / Q000150:complications*; D008297:Male; D010257:Paraneoplastic Syndromes / Q000175:diagnosis / Q000209:etiology*