拓宽非糖尿病患者低血糖诊断的视角

4区 医学 Q3 Nursing
Beatriz Rodríguez Jiménez , Ignacio Jiménez Varo , Fernando-Francisco Ortega Ortega , Mariola Méndez Muros , Félix Sánchez Fernández , María Asunción Martínez-Brocca
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引用次数: 0

摘要

51岁男性,既往有慢性酒精中毒病史,因怀疑低血糖而入院接受空腹检查。尽管先前的心脏病学和神经学评估显示没有明确的病因,但他的晕厥发作被怀疑与不一致的低血糖发作有关。在住院期间,患者经历了几次晕厥发作并伴有癫痫发作,当时与低血糖无关。这导致进一步的调查,包括排除其他原因,如可能的自主神经功能障碍。神经学随后扩大了评估范围,发现了轻度帕金森症的细微迹象和暗示快速眼动睡眠障碍的症状,这改变了诊断的怀疑。本病例强调了在评估低血糖时考虑其他临床条件的重要性,特别是当经典症状不存在或不一致出现时,并已排除内分泌起源。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Broadening perspectives on hypoglycemia diagnosis in non-diabetic patients
A 51-year-old man with a past medical history of chronic alcoholism was admitted for a planned fasting test due to suspected hypoglycemia. Despite previous evaluations by cardiology and neurology revealing no evident etiology, his syncopal episodes were suspected be associated with inconsistent hypoglycemic episodes. During his hospital admission, the patient experienced several syncopal episodes with associated seizures, which, at the time, were not related to hypoglycemia. This led to further investigation, including the exclusion of other causes, such as a possible autonomic dysfunction. Neurology consequently expanded the assessment, identifying subtle signs of mild parkinsonism and symptoms suggestive of a REM sleep disorder, which shifted the diagnostic suspicion.
This case underscores the importance of considering other clinical conditions when evaluating hypoglycemia, especially when classic symptoms are absent or inconsistently presented, and an endocrinological origin has been ruled out.
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来源期刊
Endocrinologia, Diabetes y Nutricion
Endocrinologia, Diabetes y Nutricion Nursing-Nutrition and Dietetics
CiteScore
2.10
自引率
0.00%
发文量
169
审稿时长
35 days
期刊介绍: Endocrinología, Diabetes y Nutrición is the official journal of the Spanish Society of Endocrinology and Nutrition (Sociedad Española de Endocrinología y Nutrición, SEEN) and the Spanish Society of Diabetes (Sociedad Española de Diabetes, SED), and was founded in 1954. The aim of the journal is to improve knowledge and be a useful tool in practice for clinical and laboratory specialists, trainee physicians, researchers, and nurses interested in endocrinology, diabetes, nutrition and related disciplines. It is an international journal published in Spanish (print and online) and English (online), covering different fields of endocrinology and metabolism, including diabetes, obesity, and nutrition disorders, as well as the most relevant research produced mainly in Spanish language territories. The quality of the contents is ensured by a prestigious national and international board, and by a selected panel of specialists involved in a rigorous peer review. The result is that only manuscripts containing high quality research and with utmost interest for clinicians and professionals related in the field are published. The Journal publishes Original clinical and research articles, Reviews, Special articles, Clinical Guidelines, Position Statements from both societies and Letters to the editor. Endocrinología, Diabetes y Nutrición can be found at Science Citation Index Expanded, Medline/PubMed and SCOPUS.
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