2017年
Paroxysmal Hypertension Induced by an Insulinoma.
Internal medicine (Tokyo, Japan)
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- 巻
- 56
- 号
- 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
- ID情報
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- DOI : 10.2169/internalmedicine.56.7758
- PubMed ID : 28202863
- PubMed Central 記事ID : PMC5364194