Hypoglyceamia in a Patient with a Solitary Fibrous Tumour

  • Andrew Okpe Department of Diabetes and Endocrinology, King’s Mill Hospital, Sutton-in-Ashfield, Nottinghamshire
  • Kerri Ramsay Department of Diabetes and Endocrinology, King’s Mill Hospital, Sutton-in-Ashfield, Nottinghamshire
  • Isuru P Fernando Department of Diabetes and Endocrinology, King’s Mill Hospital, Sutton-in-Ashfield, Nottinghamshire
  • Emily Mudenha Department of Diabetes and Endocrinology, King’s Mill Hospital, Sutton-in-Ashfield, Nottinghamshire
  • Devaka J Fernando Department of Diabetes and Endocrinology, King’s Mill Hospital, Sutton-in-Ashfield, Nottinghamshire

Keywords

Hypoglycaemia, Non Insulin mediated hypoglycaemia, Insulin like growth factor, Solitary fibrous tumour, Retroperitoneal 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.

References

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  • Otake S, Kikkawa T, Takizawa M, Oya J, Hanai K, Tanaka N, et al. Hypoglycemia observed on continuous glucose monitoring associated with IGF-2-producing solitary fibrous tumour. J Clin Endocrinol Metab 2015;100:2519–2524.
  • Published: 2016-04-12

    Issue: Vol 3 No 3 (view)

    Section: Articles

    How to cite:
    Okpe, A., Ramsay, K., Fernando, I., Mudenha, E., & Fernando, D. (2016). Hypoglyceamia in a Patient with a Solitary Fibrous Tumour. European Journal of Case Reports in Internal Medicine, 3(3). https://doi.org/https://doi.org/10.12890/2016_000353