title: Severe hypoglycemia due to poorly differentiated hepatocellular carcinoma.
abstract: Hypoglycemia is a well documented paraneoplastic syndrome of hepatoma. Hypoglycemia as sole presentation is very rare. We report a case of poorly differentiated hepatoma with multiple lung metastases presenting with recurrent hypoglycemic seizures as the only manifestation four months before the diagnosis of the tumour.
authors.affiliation: Department of Medicine, Trivandrum Medical College, Kerala.
authors.forename: N
authors.initials: N
authors.lastname: Jayaprasad
authors.forename: T
authors.initials: T
authors.lastname: Anees
authors.forename: T
authors.initials: T
authors.lastname: Bijin
authors.forename: S
authors.initials: S
authors.lastname: Madhusoodanan
mesh_terms: D006528:Carcinoma, Hepatocellular / Q000556:secondary*; D006801:Humans; D007003:Hypoglycemia / Q000209:etiology*; D008113:Liver Neoplasms / Q000473:pathology*; D008175:Lung Neoplasms / Q000556:secondary; D008297:Male; D008875:Middle Aged; D010257:Paraneoplastic Syndromes / Q000209:etiology*