REVISTA CHILENA DE PEDIATRIA-CHILE
|
2008年
/
79卷
/
02期
关键词:
insulinoma;
hypoglycemia;
insulin;
pancreas;
D O I:
10.4067/S0370-41062008000200008
中图分类号:
R72 [儿科学];
学科分类号:
100202 ;
摘要:
Insulinoma is a very uncommon tumor in children, with an incidence in adults of 2 per million inhabitants. Clinical manifestations include neuroglycopenic or autonomic manifestations due to hypoglycemia. We describe 2 pediatric patients with insulinoma, characterized by repeated episodes of hypoglycemia associated to high insulin serum levels and presence of a small mass in the pancreas by imaging studies. The diagnosis was very prompt in one case and delayed in the other, emphasizing the need for an appropriate diagnosis of hypoglycemia during childhood.