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Hypoglyceamia in a patient with a solitary fibrous tumour.

Okpe, Andrew
Ramsay, Kerri
Fernando, Isuru
Fernando, Devaka
Mudenha, Emily
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., Copyright © EFIM 2015.
Citation
Andrew, O, Kerri, R, Isuru P, F, Emily, M, & Devaka J, F 2016, 'Hypoglyceamia in a Patient with a Solitary Fibrous Tumour', European Journal Of Case Reports In Internal Medicine, Vol 3, Iss 3 (2016), 3.
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