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10.2169/internalmedicine.55.7071 http://scihub22266oqcxt.onion/10.2169/internalmedicine.55.7071 C5109567!5109567 !27746437     free     free     free Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\27746437 .jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117       Intern+Med 2016 ; 55 (20 ): 2985-2991 Nephropedia Template TP {{tp|p=27746437 |t=2016. Somatostatin-secreting Pheochromocytoma Mimicking Insulin-dependent Diabetes Mellitus |pdf=|usr=}}{{27746437 }} gab.com Text Somatostatin-secreting Pheochromocytoma Mimicking Insulin-dependent Diabetes Mellitus JO: Intern Med http://www.kidney.de/pget.php?&tw=1&pmid=27746437 #FOAvip We herein present the findings of a 42-year-old woman with either adrenal pheochromocytoma or intraadrenal paraganglioma that simultaneously secreted somatostatin, thus mimicking insulin-dependent diabetes mellitus. Pheochromocytoma was clinically diagnosed based on scintigraphy, elevated catecholamine levels, and finally a histopathological analysis of resected specimens. The patient had diabetic ketosis, requiring 40 U insulin for treatment. Following laparoscopic adrenalectomy, insulin therapy was discontinued and the urinary c-peptide levels changed from 5.5-9.0 to 81.3-87.0 ?g/day. Histologically, somatostatin immunoreactivity was detected and the somatostatin levels were elevated in the serum-like fluid obtained from the tumor. Clinicians should be aware of the possible occurrence of simultaneous ectopic hormone secretion in patients with pheochromocytoma. Twit Text FOAVip Somatostatin-secreting Pheochromocytoma Mimicking Insulin-dependent Diabetes Mellitus ????Intern Med http://www.kidney.de/pget.php?&tw=1&pmid=27746437 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=27746437 #FOAvip English Wikipedia <ref>{{Cite pmid|27746437 }}</ref> Somatostatin-secreting Pheochromocytoma Mimicking Insulin-dependent Diabetes Mellitus #MMPMID27746437 Hirai H ; Midorikawa S ; Suzuki S ; Sasano H ; Watanabe T ; Satoh H Intern Med 2016[]; 55 (20 ): 2985-2991 PMID27746437 show ga We herein present the findings of a 42-year-old woman with either adrenal pheochromocytoma or intraadrenal paraganglioma that simultaneously secreted somatostatin, thus mimicking insulin-dependent diabetes mellitus. Pheochromocytoma was clinically diagnosed based on scintigraphy, elevated catecholamine levels, and finally a histopathological analysis of resected specimens. The patient had diabetic ketosis, requiring 40 U insulin for treatment. Following laparoscopic adrenalectomy, insulin therapy was discontinued and the urinary c-peptide levels changed from 5.5-9.0 to 81.3-87.0 ?g/day. Histologically, somatostatin immunoreactivity was detected and the somatostatin levels were elevated in the serum-like fluid obtained from the tumor. Clinicians should be aware of the possible occurrence of simultaneous ectopic hormone secretion in patients with pheochromocytoma. |Adrenal Gland Neoplasms/*diagnosis/*metabolism/therapy [MESH] |Adrenalectomy [MESH] |Adult [MESH] |C-Peptide/urine [MESH] |Diabetes Mellitus, Type 1/*diagnosis [MESH] |Diagnosis, Differential [MESH] |Female [MESH] |Humans [MESH] |Hypoglycemic Agents/therapeutic use [MESH] |Insulin/therapeutic use [MESH] |Laparoscopy [MESH] |Pheochromocytoma/*diagnosis/*metabolism/therapy [MESH]Somatostatin-secreting Pheochromocytoma Mimicking Insulin-dependent Di(epmc).pdf DeepDyve Pubget Overpricing