Artifactual hypoglycemia: a condition that should not be forgotten [case report]
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.21/14923 |
Resumo: | Background: Hypoglycemia is uncommon in people who are not being treated for diabetes mellitus and, when present, the differential diagnosis is broad. Artifactual hypoglycemia describes the discrepancy between low capillary and normal plasma glucose levels regardless of symptoms and should be considered in patients with Raynaud's phenomenon. Case presentation: A 46-year-old female patient with a history of a sleeve gastrectomy started complaining about episodes of lipothymias preceded by sweating, nausea, and dizziness. During one of these episodes, capillary blood glucose was obtained with a 24 mg/dl value. She had multiple emergency admissions with low-capillary glycemia. An exhaustive investigation for possible causes of hypoglycemia was made for 18 months. The 72h fasting test was negative for hypoglycemia. A Raynaud phenomenon was identified during one appointment. Conclusion: Artifactual hypoglycemia has been described in various conditions including Raynaud's phenomenon, peripheral arterial disease, Eisenmenger syndrome, acrocyanosis, or hypothermia. With this case report, we want to reinforce the importance of being aware of this diagnosis to prevent anxiety, unnecessary treatment, and diagnostic tests. |
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Artifactual hypoglycemia: a condition that should not be forgotten [case report]Artifactual hypoglycemiaAutoimmune diseasesCapillary blood glucoseHypoglycemiaRaynaud’s phenomenonBackground: Hypoglycemia is uncommon in people who are not being treated for diabetes mellitus and, when present, the differential diagnosis is broad. Artifactual hypoglycemia describes the discrepancy between low capillary and normal plasma glucose levels regardless of symptoms and should be considered in patients with Raynaud's phenomenon. Case presentation: A 46-year-old female patient with a history of a sleeve gastrectomy started complaining about episodes of lipothymias preceded by sweating, nausea, and dizziness. During one of these episodes, capillary blood glucose was obtained with a 24 mg/dl value. She had multiple emergency admissions with low-capillary glycemia. An exhaustive investigation for possible causes of hypoglycemia was made for 18 months. The 72h fasting test was negative for hypoglycemia. A Raynaud phenomenon was identified during one appointment. Conclusion: Artifactual hypoglycemia has been described in various conditions including Raynaud's phenomenon, peripheral arterial disease, Eisenmenger syndrome, acrocyanosis, or hypothermia. With this case report, we want to reinforce the importance of being aware of this diagnosis to prevent anxiety, unnecessary treatment, and diagnostic tests.Frontiers MediaRCIPLAmaral, SaraPalha, AnaBernardino, VeraSilva-Nunes, José2022-08-22T15:13:58Z2022-072022-07-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.21/14923engAmaral S, Palha A, Bernardino V, Silva-Nunes J. Artifactual hypoglycemia: a condition that should not be forgotten [case report]. Front Endocrinol. 2022;13:951377.10.3389/fendo.2022.951377info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-08-03T10:11:43Zoai:repositorio.ipl.pt:10400.21/14923Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:22:38.554858Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Artifactual hypoglycemia: a condition that should not be forgotten [case report] |
title |
Artifactual hypoglycemia: a condition that should not be forgotten [case report] |
spellingShingle |
Artifactual hypoglycemia: a condition that should not be forgotten [case report] Amaral, Sara Artifactual hypoglycemia Autoimmune diseases Capillary blood glucose Hypoglycemia Raynaud’s phenomenon |
title_short |
Artifactual hypoglycemia: a condition that should not be forgotten [case report] |
title_full |
Artifactual hypoglycemia: a condition that should not be forgotten [case report] |
title_fullStr |
Artifactual hypoglycemia: a condition that should not be forgotten [case report] |
title_full_unstemmed |
Artifactual hypoglycemia: a condition that should not be forgotten [case report] |
title_sort |
Artifactual hypoglycemia: a condition that should not be forgotten [case report] |
author |
Amaral, Sara |
author_facet |
Amaral, Sara Palha, Ana Bernardino, Vera Silva-Nunes, José |
author_role |
author |
author2 |
Palha, Ana Bernardino, Vera Silva-Nunes, José |
author2_role |
author author author |
dc.contributor.none.fl_str_mv |
RCIPL |
dc.contributor.author.fl_str_mv |
Amaral, Sara Palha, Ana Bernardino, Vera Silva-Nunes, José |
dc.subject.por.fl_str_mv |
Artifactual hypoglycemia Autoimmune diseases Capillary blood glucose Hypoglycemia Raynaud’s phenomenon |
topic |
Artifactual hypoglycemia Autoimmune diseases Capillary blood glucose Hypoglycemia Raynaud’s phenomenon |
description |
Background: Hypoglycemia is uncommon in people who are not being treated for diabetes mellitus and, when present, the differential diagnosis is broad. Artifactual hypoglycemia describes the discrepancy between low capillary and normal plasma glucose levels regardless of symptoms and should be considered in patients with Raynaud's phenomenon. Case presentation: A 46-year-old female patient with a history of a sleeve gastrectomy started complaining about episodes of lipothymias preceded by sweating, nausea, and dizziness. During one of these episodes, capillary blood glucose was obtained with a 24 mg/dl value. She had multiple emergency admissions with low-capillary glycemia. An exhaustive investigation for possible causes of hypoglycemia was made for 18 months. The 72h fasting test was negative for hypoglycemia. A Raynaud phenomenon was identified during one appointment. Conclusion: Artifactual hypoglycemia has been described in various conditions including Raynaud's phenomenon, peripheral arterial disease, Eisenmenger syndrome, acrocyanosis, or hypothermia. With this case report, we want to reinforce the importance of being aware of this diagnosis to prevent anxiety, unnecessary treatment, and diagnostic tests. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-08-22T15:13:58Z 2022-07 2022-07-01T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.21/14923 |
url |
http://hdl.handle.net/10400.21/14923 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Amaral S, Palha A, Bernardino V, Silva-Nunes J. Artifactual hypoglycemia: a condition that should not be forgotten [case report]. Front Endocrinol. 2022;13:951377. 10.3389/fendo.2022.951377 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Frontiers Media |
publisher.none.fl_str_mv |
Frontiers Media |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799133498559168512 |