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Updated: Jun 21, 2026

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Published on: July 25, 2025
[Glucagon perfusion in paraneoplastic hypoglycemia].
Inés Losada López1, Juana Ana Nicolau Ramis, Luis Alberto Gómez Gómez
1Servicio de Medicina Interna, Servicio de Endocrinología. Hospital Son Llàtzer, Palma de Mallorca, Islas Baleares, España. ialosada@hsll.es
Paraneoplastic hypoglycemia, a rare complication, can occur with cancers like mesothelioma. This case highlights a patient with malignant peritoneal mesothelioma experiencing hypoglycemia, successfully treated with glucagon perfusion.
Area of Science:
- Oncology
- Endocrinology
- Internal Medicine
Background:
- Hypoglycemia is a frequent medical emergency, often linked to diabetes treatments.
- It can occasionally manifest as a paraneoplastic syndrome, indicating an underlying malignancy.
Observation:
- A 61-year-old woman presented with diminished consciousness.
- The patient had a confirmed diagnosis of malignant peritoneal mesothelioma.
Findings:
- The cause of hypoglycemia was determined to be paraneoplastic.
- The patient showed a positive response to glucagon administration.
Implications:
- This case underscores the importance of considering paraneoplastic hypoglycemia in cancer patients with unexplained low blood sugar.
- Glucagon therapy can be effective in managing this condition.
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