Artifactual hypoglycemia: a condition that should not be forgotten [case report]

Detalhes bibliográficos
Autor(a) principal: Amaral, Sara
Data de Publicação: 2022
Outros Autores: Palha, Ana, Bernardino, Vera, Silva-Nunes, José
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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spelling 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
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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
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instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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