title: [Severe hypoglycemia as first manifestation hepatocarcinoma in pregnancy: case report].
abstract: We report the case of a 24 years old, nineteen weeks pregnant that develops pictures of severe hypoglycemia as first manifestation of primary hepatocarcinoma by hepatitis B. The great increase of the alpha fetoprotein was diagnostic. We reviewed the Literature and comment the hypoglycemic effect as a paraneoplasic manifestation by the increase of the growth-factor similar to insulin II of tumor origin, with low insulin levels.
authors: Servicio de Gastroenterología, Hospital Nacional Cayetano Heredia.
authors: Hugo
authors: H
authors: Cedrón Cheng
authors: Alejandro
authors: A
authors: Piscoya Rivera
authors: Alejandro
authors: A
authors: Bussalleu Rivera
authors: Jorge
authors: J
authors: Huerta-Mercado Tenorio
mesh_terms: D000328:Adult; D014408:Biomarkers, Tumor / Q000097:blood; D006528:Carcinoma, Hepatocellular / Q000097:blood / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging; D005260:Female; D006509:Hepatitis B / Q000097:blood / Q000150:complications; D006801:Humans; D007003:Hypoglycemia / Q000209:etiology*; D008113:Liver Neoplasms / Q000097:blood / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging; D009363:Neoplasm Proteins / Q000097:blood; D010257:Paraneoplastic Syndromes / Q000209:etiology*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000209:etiology*; D011251:Pregnancy Complications, Infectious / Q000097:blood; D011252:Pregnancy Complications, Neoplastic / Q000097:blood* / Q000175:diagnosis / Q000000981:diagnostic imaging; D012640:Seizures / Q000209:etiology; D014463:Ultrasonography; D000509:alpha-Fetoproteins / Q000032:analysis
chemical_list: D014408:Biomarkers, Tumor; D009363:Neoplasm Proteins; D000509:alpha-Fetoproteins