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Case Report

2022-07-28Artigo científico Acesso aberto
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dc.contributor.authorAmaral, Sara
dc.contributor.authorPalha, Ana
dc.contributor.authorBernardino, Vera
dc.contributor.authorSilva-Nunes, José
dc.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.pblFrontiers Media
dc.date.accessioned2022-09-09T22:45:13Z
dc.date.available2022-09-09T22:45:13Z
dc.date.issued2022-07-28
dc.descriptionCopyright © 2022 Amaral, Palha, Bernardino and Silva-Nunes.
dc.description.abstractBackground: Hypoglycemia is uncommon in people who are not being treated for diabetes mellitus and, when present, the differential diagnosis is broad. Artifactual hypoglycemia describes 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, a capillary blood glucose was obtained with a value of 24 mg/dl. 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's 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.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent490181
dc.identifier.doi10.3389/fendo.2022.951377
dc.identifier.issn1664-2392
dc.identifier.otherPURE: 46284327
dc.identifier.otherPURE UUID: 11de7907-03b2-4194-ae4f-2f5b8e22799b
dc.identifier.otherPubMed: 35966055
dc.identifier.otherPubMedCentral: PMC9371975
dc.identifier.otherScopus: 85136929337
dc.identifier.otherWOS: 000839410000001
dc.identifier.urihttp://hdl.handle.net/10362/143636
dc.language.isoeng
dc.peerreviewedyes
dc.subjectAwareness
dc.subjectBlood Glucose
dc.subjectDiabetes Mellitus
dc.subjectFemale
dc.subjectHumans
dc.subjectHypoglycemia/diagnosis
dc.subjectMemory Disorders
dc.subjectMiddle Aged
dc.subjectSDG 3 - Good Health and Well-being
dc.titleCase Reporten
dc.title.subtitleArtifactual Hypoglycemia: A Condition That Should Not Be Forgottenen
dc.typejournal article
degois.publication.titleFRONTIERS IN ENDOCRINOLOGY
degois.publication.volume13
dspace.entity.typePublication
rcaap.rightsopenAccess

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