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Christopher D. Saudek, MD

JAMA. 1990;264(21):2791-2794.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

CASE PRESENTATION

—Linda Mundy, MD

A 34-YEAR-OLD man was admitted because of recurrent hypoglycemia. One year prior to admission he developed an episode of confusion. Since he worked in the accounting office of another hospital, he was taken directly to the emergency department, where hypoglycemia was diagnosed. Further workup confirmed fasting hypoglycemia (1.7 to 2.8 mmol/L) and elevated fasting immunoreactive insulin (IRI) levels of 168 to 192 pmol/L. Localizing studies revealed a tumor in the body of the pancreas. On surgical exploration, a 1.2-cm mass was excised from the body of the pancreas that on pathological examination was consistent with a pancreatic islet cell tumor. The immediate postoperative course was uncomplicated, but over the following 8 months he became symptomatically worse, not better. He noted recurrent bouts of hypoglycemic symptoms with confusion and once drove his car off the road out of control. The patient learned to avoid these episodes . . . [Full Text PDF of this Article]

Author Affiliations
From the Division of Endocrinology and Metabolism, The Johns Hopkins Medical School, Baltimore, Md.

Footnotes
Reprint requests to 576 Osier Bldg, The Johns Hopkins Medical School, 600 N Wolfe St, Baltimore, MD 21205 (Dr Saudek).

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