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以低血糖症为主要表现的Von Hippel-Lindau综合征并文献复习

聂川 吕黄勇 陈晓敏 韩峰 肖萧

临床误诊误治2016,Vol.29Issue(3):18-20,3.
临床误诊误治2016,Vol.29Issue(3):18-20,3.DOI:10.3969/j.issn.1002-3429.2016.03.007

以低血糖症为主要表现的Von Hippel-Lindau综合征并文献复习

Hypoglycemia in Von Hippel-Lindau Syndrome and Literature Review

聂川 1吕黄勇 1陈晓敏 1韩峰 1肖萧1

作者信息

  • 1. 661699 云南 开远,解放军第59 中心医院消化内分泌科
  • 折叠

摘要

Abstract

Objective To investigate the diagnosis and treatment of Von Hippel-Lindau syndrome. Methods The clinical data of one patient of VHL Syndrome was retrospectively analyzed and the related literature was reviewed. Results A 37-year-old male patient was admitted for recurrent hypoglycemia, abdominal pain, headache, and vertigo for 1 year. He had been diagnosed with hypoglycemia at several local hospitals, and the symptoms mostly occurred in the morning but were relieved after eating or tak-ing oral glucose. In spite of this, the symptoms reoccurred. His fasting blood glucose fluctuated between 2. 2~4. 0 mmol/L upon admission to our hospital. Abdominal CT, head and neck MRI examination confirmed VHL syndrome. The patient was transferred to a specialized hospital and after symptomatic treatment, the patient's condition turned stable and the patient survived in one year fol-low-up. Conclusion VHL syndrome is a rare autosomal dominant genetic disease with multi organ involvement and clinical mani-festations. The key to reduce the misdiagnosis and missed diagnosis rates is to raise awareness.

关键词

Von Hippel-Lindau病/误诊/低血糖症

Key words

Von hippel-lindau syndrome/Misdiagnosis/Hypoglycemia

分类

临床医学

引用本文复制引用

聂川,吕黄勇,陈晓敏,韩峰,肖萧..以低血糖症为主要表现的Von Hippel-Lindau综合征并文献复习[J].临床误诊误治,2016,29(3):18-20,3.

临床误诊误治

OACSTPCD

1002-3429

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