論文

2017年

Paroxysmal Hypertension Induced by an Insulinoma.

Internal medicine (Tokyo, Japan)
  • Ko Harada
  • ,
  • Yoshihisa Hanayama
  • ,
  • Kou Hasegawa
  • ,
  • Masaya Iwamuro
  • ,
  • Hideharu Hagiya
  • ,
  • Ryuichi Yoshida
  • ,
  • Fumio Otsuka

56
4
開始ページ
413
終了ページ
417
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.2169/internalmedicine.56.7758

Insulinoma is a rare, usually benign, pancreatic neuroendocrine tumor. The clinical features of an insulinoma are fasting hypoglycemia with neuroglycopenic symptoms including confusion and unusual behavior, while hypertension is usually not associated with the disease. We herein report a patient with insulinoma who manifested paroxysmal hypertension and neuroglycopenic symptoms. The possible etiology of hypertension induced by an insulinoma is catecholamine release in response to hypoglycemia, which may cause acute hypertension through activation of the sympatho-adrenal system. This case implies that sustained hyperinsulinemia due to insulinoma can be functionally linked to the induction of paroxysmal hypertension.

リンク情報
DOI
https://doi.org/10.2169/internalmedicine.56.7758
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/28202863
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5364194
ID情報
  • DOI : 10.2169/internalmedicine.56.7758
  • PubMed ID : 28202863
  • PubMed Central 記事ID : PMC5364194

エクスポート
BibTeX RIS