"Big IGF-II"-induced hypoglycemia secondary to gastric adenocarcinoma.

Abstract:

:Non-islet cell tumor-related hypoglycemia is a rare phenomenon. We report the case of a 63 Year-old man admitted for hemiparesia and a capillary blood glucose of 20 mg/dL. The presence of an immature form of IGF-II that can mimic the effect of insulin, namely "big IGF-II", explained this patient's hypoglycaemia. A moderately differentiated adenocarcinoma of the cardia with metastatic extension to the stomach and the liver was demonstrated. Octreotide failed to control the hypoglycaemia, therefore prednisolone (2 mg/kg per day) and enteral feeding prevented new episodes of severe hypoglycaemia.

journal_name

Diabetes Metab

journal_title

Diabetes & metabolism

authors

Morbois-Trabut L,Maillot F,De Widerspach-Thor A,Lamisse F,Couet C

doi

10.1016/s1262-3636(07)70119-2

subject

Has Abstract

pub_date

2004-06-01 00:00:00

pages

276-9

issue

3

eissn

1262-3636

issn

1878-1780

pii

s1262-3636(07)70119-2

journal_volume

30

pub_type

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