High-dose calcium stimulation test in a case of insulinoma masquerading as hysteria

@article{Nakamura2002HighdoseCS,
  title={High-dose calcium stimulation test in a case of insulinoma masquerading as hysteria},
  author={Dr. Yoshio Nakamura and Ryuichiro Doi and Yasuhiro Kohno and Dai Shimono and Naomitsu Kuwamura and Koichi Inoue and Hiroyuki Koshiyama and Masayuki Imamura},
  journal={Endocrine},
  year={2002},
  volume={19},
  pages={127-130}
}
It is reported that some cases with insulinoma present with neuropsychiatric symptoms and are often misdiagnosed as psychosis. Here we report a case of insulinoma masquerading as hysteria, whose final diagnosis could be made using high-dose calcium stimulation test. A 28-yr-old woman was referred presenting with substupor, mutism, mannerism, restlessness, and incoherence. Laboratory examinations revealed hypoglycemia (33 mg/dL) and detectable insulin levels (9.7 µU/mL), suggesting the diagnosis… CONTINUE READING

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