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Insulinoma presenting as alcoholic stupor.
  1. P. Dandona,
  2. V. A. Fonseca,
  3. D. P. Mikhailidis,
  4. R. K. Menon
  1. Department of Chemical Pathology and Human Metabolism, Royal Free Hospital, London.

    Abstract

    We report a case of prolonged loss of consciousness due to hypoglycaemia following ethanol abuse in a non-diabetic. The patient also reported symptoms compatible with hypoglycaemia following heavy manual work. Further investigations revealed a pancreatic insulinoma, which was successfully removed surgically. The patient remains asymptomatic 18 months later, despite occasional episodes of ethanol abuse. This case illustrates how heavy exercise and/or alcohol abuse can aggravate spontaneous hypoglycaemia.

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