title: An obese man with anxiety, sweating, and headache.
abstract: A 47-year-old man reported becoming confused, disoriented, and anxious while driving his car. He recalled sweating and having blurred vision, palpitations, and a diffuse headache shortly before pulling to the side of the road and losing consciousness. Emergency service personnel arrived about 15 minutes later and administered a 50% solution of dextrose intravenously. On regaining consciousness, the patient had no weakness,shortness of breath, chest pain, or loss of bowel or bladder function. He had experienced a similar episode one week earlier and several others in the distant past. Each time, symptoms had been alleviated by eating.
authors.affiliation: University of South Florida, James A. Haley Veterans Hospital, Tampa, USA.
authors.forename: J D
authors.initials: JD
authors.lastname: McCormick
authors.forename: D
authors.initials: D
authors.lastname: Diguilio
authors.forename: H M
authors.initials: HM
authors.lastname: Adelman
mesh_terms: D001007:Anxiety / Q000150:complications*; D001786:Blood Glucose; D003937:Diagnosis, Differential; D005215:Fasting; D006261:Headache / Q000150:complications*; D006801:Humans; D007340:Insulinoma / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000150:complications*; D010190:Pancreatic Neoplasms / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D013546:Sweating; D014057:Tomography, X-Ray Computed
chemical_list: D001786:Blood Glucose