[Glucagon perfusion in paraneoplastic hypoglycemia].
Hypoglycemia is a common emergency, and is usually due to insulin therapy or oral hypoglycemic treatment in diabetic patients. In some cases, hypoglycemia can be a paraneoplastic sign. We report the case of a 61-year-old woman with a malignant peritoneal mesothelioma, who was admitted to hospital because of diminished consciousness. The final diagnosis was paraneoplastic hypoglycemia with a positive response to glucagon. The patient was finally discharged with glucagon perfusion.
Losada López
Inés
I
Servicio de Medicina Interna, Servicio de Endocrinología. Hospital Son Llàtzer, Palma de Mallorca, Islas Baleares, España. ialosada@hsll.es
Nicolau Ramis
Juana Ana
JA
Gómez Gómez
Luis Alberto
LA
Rodríguez Rodríguez
Irene
I
Masmiquel Comas
Luis
L
D000970:Antineoplastic Agents / Q000627:therapeutic use; D003128:Coma / Q000209:etiology; D017809:Fatal Outcome; D005260:Female; D005934:Glucagon / Q000008:administration & dosage / Q000627:therapeutic use*; D006801:Humans; D007003:Hypoglycemia / Q000188:drug therapy* / Q000209:etiology; D007262:Infusions, Intravenous; D007335:Insulin-Like Growth Factor II / Q000378:metabolism; D008654:Mesothelioma / Q000150:complications / Q000188:drug therapy / Q000378:metabolism; D008875:Middle Aged; D008954:Models, Biological; D010166:Palliative Care; D010257:Paraneoplastic Syndromes / Q000188:drug therapy* / Q000209:etiology; D010477:Perfusion; D010534:Peritoneal Neoplasms / Q000150:complications / Q000188:drug therapy / Q000378:metabolism; D011498:Protein Precursors / Q000378:metabolism; D012008:Recurrence
D000970:Antineoplastic Agents; D011498:Protein Precursors; C066038:proinsulin-like growth factor II; D007335:Insulin-Like Growth Factor II; D005934:Glucagon