Multiple endocrine neoplasia type 1 in a patient diagnosed with nesidioblastosis. A case presentation

Multiple endocrine neoplasias encompass a series of syndromes characterized by their genetic origin and the involvement of one or more glands. A 23-years-old male patient with a health history of nesidioblastosis diagnosed at 16 years of age, who attended the Ambato General Teaching Hospital with to...

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Main Authors: Olivia Elizabeth Altamirano Guerrero, María Gabriela Balarezo García, Juan Sebastián Lima Icaza
Format: Article
Language:Spanish
Published: Centro Provincial de Información de Ciencias Médicas. Cienfuegos 2023-11-01
Series:Medisur
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Online Access:http://medisur.sld.cu/index.php/medisur/article/view/30539
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author Olivia Elizabeth Altamirano Guerrero
María Gabriela Balarezo García
Juan Sebastián Lima Icaza
author_facet Olivia Elizabeth Altamirano Guerrero
María Gabriela Balarezo García
Juan Sebastián Lima Icaza
author_sort Olivia Elizabeth Altamirano Guerrero
collection DOAJ
description Multiple endocrine neoplasias encompass a series of syndromes characterized by their genetic origin and the involvement of one or more glands. A 23-years-old male patient with a health history of nesidioblastosis diagnosed at 16 years of age, who attended the Ambato General Teaching Hospital with tonic-clonic seizures and severe hypoglycemia with subsequent epileptic status, is described. Laboratory studies showed primary hyperparathyroidism, and imaging identified lesions suggestive of parathyroid adenoma and insulinoma of the head of the pancreas. After analyzing the case, two criteria were identified to suggest multiple endocrine neoplasia type 1: presence of insulinoma and primary hyperparathyroidism. In addition to treatment with bisphosphonate, consultation with the Genetics service was planned for study of the patient and family members; and with General Surgery, for scheduling surgical resolution. Due to the infrequency of this disease, it is of interest to describe the case, with the aim of exposing the main clinical manifestations and conduct to follow. Diagnosing its cause in each patient is a priority.
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institution Kabale University
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publishDate 2023-11-01
publisher Centro Provincial de Información de Ciencias Médicas. Cienfuegos
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spelling doaj-art-df6b4c1b1bb8454e94df7c2fff4b174e2025-01-30T21:29:02ZspaCentro Provincial de Información de Ciencias Médicas. CienfuegosMedisur1727-897X2023-11-01216136213672413Multiple endocrine neoplasia type 1 in a patient diagnosed with nesidioblastosis. A case presentationOlivia Elizabeth Altamirano Guerrero0María Gabriela Balarezo García1Juan Sebastián Lima Icaza2Universidad Regional Autónoma de Los Andes. QuevedoUniversidad Regional Autónoma de Los Andes. QuevedoUniversidad Regional Autónoma de Los Andes. QuevedoMultiple endocrine neoplasias encompass a series of syndromes characterized by their genetic origin and the involvement of one or more glands. A 23-years-old male patient with a health history of nesidioblastosis diagnosed at 16 years of age, who attended the Ambato General Teaching Hospital with tonic-clonic seizures and severe hypoglycemia with subsequent epileptic status, is described. Laboratory studies showed primary hyperparathyroidism, and imaging identified lesions suggestive of parathyroid adenoma and insulinoma of the head of the pancreas. After analyzing the case, two criteria were identified to suggest multiple endocrine neoplasia type 1: presence of insulinoma and primary hyperparathyroidism. In addition to treatment with bisphosphonate, consultation with the Genetics service was planned for study of the patient and family members; and with General Surgery, for scheduling surgical resolution. Due to the infrequency of this disease, it is of interest to describe the case, with the aim of exposing the main clinical manifestations and conduct to follow. Diagnosing its cause in each patient is a priority.http://medisur.sld.cu/index.php/medisur/article/view/30539neoplasia endocrina múltiple tipo 1hiperparatiroidismo primario, insulinomanesidioblastosispáncreas
spellingShingle Olivia Elizabeth Altamirano Guerrero
María Gabriela Balarezo García
Juan Sebastián Lima Icaza
Multiple endocrine neoplasia type 1 in a patient diagnosed with nesidioblastosis. A case presentation
Medisur
neoplasia endocrina múltiple tipo 1
hiperparatiroidismo primario, insulinoma
nesidioblastosis
páncreas
title Multiple endocrine neoplasia type 1 in a patient diagnosed with nesidioblastosis. A case presentation
title_full Multiple endocrine neoplasia type 1 in a patient diagnosed with nesidioblastosis. A case presentation
title_fullStr Multiple endocrine neoplasia type 1 in a patient diagnosed with nesidioblastosis. A case presentation
title_full_unstemmed Multiple endocrine neoplasia type 1 in a patient diagnosed with nesidioblastosis. A case presentation
title_short Multiple endocrine neoplasia type 1 in a patient diagnosed with nesidioblastosis. A case presentation
title_sort multiple endocrine neoplasia type 1 in a patient diagnosed with nesidioblastosis a case presentation
topic neoplasia endocrina múltiple tipo 1
hiperparatiroidismo primario, insulinoma
nesidioblastosis
páncreas
url http://medisur.sld.cu/index.php/medisur/article/view/30539
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AT mariagabrielabalarezogarcia multipleendocrineneoplasiatype1inapatientdiagnosedwithnesidioblastosisacasepresentation
AT juansebastianlimaicaza multipleendocrineneoplasiatype1inapatientdiagnosedwithnesidioblastosisacasepresentation