title: Refractory Hypoglycemia Presenting as First Manifestation of Advanced Hepatocellular Carcinoma.
abstract: Hypoglycemia is a well-established paraneoplastic manifestation of hepatocellular carcinoma (HCC). However, hypoglycemia presenting as the primary presentation of HCC is extremely rare. Most cases are resistant to glucose infusion and may lead to severe complications such as hypoglycemic seizures. We present a patient who had hypoglycemia as first manifestation of HCC and was managed conservatively.
authors.affiliation: Department of Hepatology, Asian Institute of Gastroenterology, Hyderabad, Andhra Pradesh, India ; Department of Gastroenterology and Hepatology, Singapore General Hospital, Singapore.
authors.forename: Mithun
authors.initials: M
authors.lastname: Sharma
authors.affiliation: Department of Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, Andhra Pradesh, India.
authors.forename: Duvurru Nageshwar
authors.initials: DN
authors.lastname: Reddy
authors.affiliation: Department of Gastroenterology and Hepatology, Singapore General Hospital, Singapore.
authors.forename: Tan Chee
authors.initials: TC
authors.lastname: Kiat