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Artifactual hypoglycemia: a condition that should not be forgotten [case report]

2022-07Journal article Open access
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dc.contributor.authorAmaral, Sara
dc.contributor.authorPalha, Ana
dc.contributor.authorBernardino, Vera
dc.contributor.authorSilva-Nunes, José
dc.date.accessioned2022-08-22T15:13:58Z
dc.date.available2022-08-22T15:13:58Z
dc.date.issued2022-07
dc.description.abstractBackground: Hypoglycemia is uncommon in people who are not being treated for diabetes mellitus and, when present, the differential diagnosis is broad. Artifactual hypoglycemia describes the discrepancy between low capillary and normal plasma glucose levels regardless of symptoms and should be considered in patients with Raynaud's phenomenon. Case presentation: A 46-year-old female patient with a history of a sleeve gastrectomy started complaining about episodes of lipothymias preceded by sweating, nausea, and dizziness. During one of these episodes, capillary blood glucose was obtained with a 24 mg/dl value. She had multiple emergency admissions with low-capillary glycemia. An exhaustive investigation for possible causes of hypoglycemia was made for 18 months. The 72h fasting test was negative for hypoglycemia. A Raynaud phenomenon was identified during one appointment. Conclusion: Artifactual hypoglycemia has been described in various conditions including Raynaud's phenomenon, peripheral arterial disease, Eisenmenger syndrome, acrocyanosis, or hypothermia. With this case report, we want to reinforce the importance of being aware of this diagnosis to prevent anxiety, unnecessary treatment, and diagnostic tests.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationAmaral S, Palha A, Bernardino V, Silva-Nunes J. Artifactual hypoglycemia: a condition that should not be forgotten [case report]. Front Endocrinol. 2022;13:951377.pt_PT
dc.identifier.doi10.3389/fendo.2022.951377pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.21/14923
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherFrontiers Mediapt_PT
dc.relation.publisherversionhttps://www.frontiersin.org/articles/10.3389/fendo.2022.951377/fullpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectArtifactual hypoglycemiapt_PT
dc.subjectAutoimmune diseasespt_PT
dc.subjectCapillary blood glucosept_PT
dc.subjectHypoglycemiapt_PT
dc.subjectRaynaud’s phenomenonpt_PT
dc.titleArtifactual hypoglycemia: a condition that should not be forgotten [case report]pt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.startPage951377pt_PT
oaire.citation.titleFrontiers in Endocrinologypt_PT
oaire.citation.volume13pt_PT
person.familyNameSilva-Nunes
person.givenNameJosé António
person.identifier.ciencia-id4B1C-E132-25F0
person.identifier.orcid0000-0002-4728-1220
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication9352b380-9661-4316-ab88-6ed9be1020ac
relation.isAuthorOfPublication.latestForDiscovery9352b380-9661-4316-ab88-6ed9be1020ac

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