Hypoglyceamia in a patient with a solitary fibrous tumour

Abstract

Objective: To illustrate an unusual mechanism causing hypoglycaemia.

Material and methods: A 76-year-old man presented with episodes of agitation and confusion and was resuscitated with oral glucose gel when found to be hypoglycaemic.

Results: A CT scan for an abdominal mass confirmed a solitary fibrous tumour (SFT). The sarcoma multidisciplinary team suggested conservative management. The patient's episodic hypoglycaemia was managed with diet modification including corn-based starch, scheduled snacks and dexamethasone. Glucose levels were within normal range at discharge from hospital. The patient was referred to the palliative care team for follow-up.

Conclusion: SFTs causing non-islet cell tumour hypoglycaemia are difficult to treat.

Metadata

Item Type:	Article
Authors/Creators:	Okpe, A. Ramsay, K. Fernando, I.P. Mudenha, E. Fernando, D.J. https://orcid.org/0000-0002-0278-0392
Copyright, Publisher and Additional Information:	© EFIM 2016. This article is licensed under a Commons Attribution Non-Commercial 4.0 License. (http://creativecommons.org/licenses/by-nc-nd/4.0/)
Keywords:	Hypoglycaemia; Non Insulin mediated hypoglycaemia; Insulin like growth factor; Solitary fibrous tumour; Retroperitoneal tumour
Dates:	Published: 7 March 2016 Accepted: 31 January 2016
Institution:	The University of Sheffield
Academic Units:	The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield)
Depositing User:	Symplectic Sheffield
Date Deposited:	17 May 2018 11:23
Last Modified:	17 May 2018 11:23
Published Version:	https://doi.org/10.12890/2016_000353
Status:	Published
Publisher:	SMC MEDIA SRL
Refereed:	Yes
Identification Number:	10.12890/2016_000353
Open Archives Initiative ID (OAI ID):	oai:eprints.whiterose.ac.uk:130822

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Hypoglyceamia in a patient with a solitary fibrous tumour

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