A case of spontaneous hypoglycemia

Authors

  • Maliha Tabassum MD Phase-B Resident, Department of Endocrinology, BIRDEM General Hospital, Dhaka, Bangladesh
  • Faria Afsana Assistant Professor, Department of Endocrinology, BIRDEM General Hospital, Dhaka, Bangladesh
  • Salman Hossain MD thesis student, Department of Endocrinology, BIRDEM General Hospital, Dhaka, Bangladesh
  • Mohammod Feroz Amin Associate Professor,Department of Endocrinology, BIRDEM General Hospital, Dhaka, Bangladesh
  • Rushda Sharmin Binte Rouf Registrar,Department of Endocrinology, BIRDEM General Hospital, Dhaka, Bangladesh
  • Kazi Nazmul Hossain Registrar,Department of Endocrinology, BIRDEM General Hospital, Dhaka, Bangladesh
  • Md Faruque Pathan Professor,Department of Endocrinology, BIRDEM General Hospital, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/birdem.v12i1.57229

Keywords:

Systemic lupus erythematosus,insulin receptor, type B insulin resistance syndrome, hypoglycemia,POEMS syndrome

Abstract

We describe a case of systemic lupus erythematosus with POEMS syndrome presenting as spontaneous hypoglycemia. A 58-year-old female suffered repeated episodes of hypoglycemia. During thesehypoglycemic episodes, her postprandial insulin level was inappropriately high. Further blood tests revealed the presence of antinuclear antibodies, anti-double-stranded DNA antibodies,low C4level.Altered albumin-globulin ratio,monoclonal gammopathy (IgG LAMBDA), polyneuropathy and organomegaly lead to suspicion of concurrent presence of POEMS syndrome.Bone marrow examination revealed plasma cell dyscrasia and plasmacytoma in trephine biopsy confirmed the diagnosis.Here, we emphasize on autoimmune cause of hypoglycemia.

BIRDEM Med J 2022; 12(1): 70-73

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Published

2021-12-30

How to Cite

Tabassum, M. ., Afsana, F. ., Hossain, S. ., Amin, M. F. ., Binte Rouf, R. S. ., Hossain, K. N. ., & Pathan, M. F. . (2021). A case of spontaneous hypoglycemia. BIRDEM Medical Journal, 12(1), 70–73. https://doi.org/10.3329/birdem.v12i1.57229

Issue

Section

Case Reports