Nonislet Cell Tumor Hypoglycemia in a Patient with Adrenal Cortical Carcinoma

Nonislet cell tumor hypoglycemia (NICTH) is a rare but serious paraneoplastic syndrome in which a tumor secretes incompletely processed precursors of insulin-like growth factor-II (IGF-II), causing hypoglycemia. Here, we report an exceptional case of NICTH caused by nonfunctioning adrenocortical car...

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Main Authors: Se Won Kim, Seung-Eun Lee, Young Lyun Oh, Seokhwi Kim, Sun Hee Park, Jae Hyeon Kim
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Endocrinology
Online Access:http://dx.doi.org/10.1155/2016/5731417
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author Se Won Kim
Seung-Eun Lee
Young Lyun Oh
Seokhwi Kim
Sun Hee Park
Jae Hyeon Kim
author_facet Se Won Kim
Seung-Eun Lee
Young Lyun Oh
Seokhwi Kim
Sun Hee Park
Jae Hyeon Kim
author_sort Se Won Kim
collection DOAJ
description Nonislet cell tumor hypoglycemia (NICTH) is a rare but serious paraneoplastic syndrome in which a tumor secretes incompletely processed precursors of insulin-like growth factor-II (IGF-II), causing hypoglycemia. Here, we report an exceptional case of NICTH caused by nonfunctioning adrenocortical carcinoma in a 39-year-old male with recurrent hypoglycemia. The patient’s serum IGF-II/IGF-I ratio had increased to 27.8. The serum level of the IGF-II/IGF-I ratio was normalized after removal of the tumor, and the hypoglycemic attacks no longer occurred after the operation.
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series Case Reports in Endocrinology
spelling doaj-art-1f412fd9f372405d82f24c8518c312142025-02-03T06:01:31ZengWileyCase Reports in Endocrinology2090-65012090-651X2016-01-01201610.1155/2016/57314175731417Nonislet Cell Tumor Hypoglycemia in a Patient with Adrenal Cortical CarcinomaSe Won Kim0Seung-Eun Lee1Young Lyun Oh2Seokhwi Kim3Sun Hee Park4Jae Hyeon Kim5Division of Endocrinology, Department of Internal Medicine, Sahmyook Medical Center, Seoul, Republic of KoreaDepartment of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of KoreaDepartment of Pathology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of KoreaGraduate School of Medical Science and Engineering, Korea Advanced Institute of Science and Technology, Daejeon, Republic of KoreaDivision of Endocrinology, Department of Internal Medicine, Sahmyook Medical Center, Seoul, Republic of KoreaDepartment of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of KoreaNonislet cell tumor hypoglycemia (NICTH) is a rare but serious paraneoplastic syndrome in which a tumor secretes incompletely processed precursors of insulin-like growth factor-II (IGF-II), causing hypoglycemia. Here, we report an exceptional case of NICTH caused by nonfunctioning adrenocortical carcinoma in a 39-year-old male with recurrent hypoglycemia. The patient’s serum IGF-II/IGF-I ratio had increased to 27.8. The serum level of the IGF-II/IGF-I ratio was normalized after removal of the tumor, and the hypoglycemic attacks no longer occurred after the operation.http://dx.doi.org/10.1155/2016/5731417
spellingShingle Se Won Kim
Seung-Eun Lee
Young Lyun Oh
Seokhwi Kim
Sun Hee Park
Jae Hyeon Kim
Nonislet Cell Tumor Hypoglycemia in a Patient with Adrenal Cortical Carcinoma
Case Reports in Endocrinology
title Nonislet Cell Tumor Hypoglycemia in a Patient with Adrenal Cortical Carcinoma
title_full Nonislet Cell Tumor Hypoglycemia in a Patient with Adrenal Cortical Carcinoma
title_fullStr Nonislet Cell Tumor Hypoglycemia in a Patient with Adrenal Cortical Carcinoma
title_full_unstemmed Nonislet Cell Tumor Hypoglycemia in a Patient with Adrenal Cortical Carcinoma
title_short Nonislet Cell Tumor Hypoglycemia in a Patient with Adrenal Cortical Carcinoma
title_sort nonislet cell tumor hypoglycemia in a patient with adrenal cortical carcinoma
url http://dx.doi.org/10.1155/2016/5731417
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