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Insulin-induced factitious hypoglycemic coma.

W A Price, B Zimmer, R Conway

    General Hospital Psychiatry
    |July 1, 1986
    PubMed
    Summary
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    Factitious hypoglycemia, often caused by self-administered oral hypoglycemic agents or insulin, can lead to coma. Physicians must recognize this rare but serious presentation of factitious disorder for timely diagnosis and management.

    Area of Science:

    • Endocrinology
    • Psychiatry

    Background:

    • Factitious disorder is a mental health condition where individuals feign or induce illness.
    • Self-induced hypoglycemia, through oral hypoglycemic agents or insulin, is a known manifestation.
    • Factitious hypoglycemic coma, while rare, poses significant diagnostic and clinical challenges.

    Observation:

    • A case of chronic factitious disorder presenting as hypoglycemic coma is detailed.
    • The patient's presentation mimicked naturally occurring severe hypoglycemia.

    Findings:

    • Factitious disorder can manifest as recurrent, severe hypoglycemia, potentially leading to coma.
    • The diagnostic challenge lies in differentiating factitious hypoglycemia from other causes.

    Implications:

    Related Experiment Videos

    • Increased physician awareness of factitious hypoglycemia is crucial for prompt identification.
    • Early detection and intervention are vital to prevent potentially fatal outcomes and long-term sequelae.
    • Understanding the presentation of factitious disorder aids in appropriate patient management and psychiatric referral.