Artifactual Hypoglycaemia Associated With Cyanotic Congenital Heart Disease: a New Perspective towards Understanding
Journal Title: Scholars Journal of Medical Case Reports - Year 2016, Vol 4, Issue 6
Abstract
Hypoglycemia remains an infrequently and potentially dangerous complication in all patients. Patients who are suspected of having hypoglycemia should be questionable until confirmed by appropriate tests. Herein, we report clinical findings of three cyanotic congenital heart disease cases diagnosed artifactual hypoglycaemia, including an updated review of literature of artifactual hypoglycaemia. The cyanotic congenital heart disease led to secondary erythrocytosis, which provided the high levels of erythrocytes that we believe caused the artifactual hypoglycemia in combination with delayed processing of the sample. Currently, there are few specific studies on cyanotic congenital heart disease cases diagnosed artifactual hypoglycaemia. The report of our cases and the literature review underline the unnecessary of a detailed work-up for artifactual hypoglycaemia can be avoided if it is suspected in patients with cyanotic congenital heart disease. Clinicians should consider potential discrepancy in asymptomatic individuals before initiating costly examination. Our paper may represent the tip of the iceberg and raises concerns about the proper management of individuals with artifactual hypoglycaemia in cyanotic congenital heart disease. Keywords:Hypoglycaemia, Artifactual, Cyanotic, Congenital heart disease.
Authors and Affiliations
Tianci Qian, Fugui Ruan, Xiaolin Sun, Donghua Pan, Jiangbin Sun, Haiyong Wang
Keywords
Related Articles
- EP ID EP375222
- DOI -
- Views 90
- Downloads 0
Bilateral elastofibromadorsi : From the clinic to the treatment (about a case with literature review)
Elastofibromadorsi is a rare, slow-growing, ill-defined soft tissue tumor of the chest wall, most commonly located beneath the rhomboid major and latissimus dorsi muscles. This lesion is usually seen in patients over the...
A Case Report of Unusual Site of Uterine Rupture in Pregnancy with Scarred Uterus
Spontaneous uterine rupture of a scarred uterus of unusual site is a rare complication in pregnancy. We are reporting an unusual case of a multigravida, with multiple (twin) pregnancy and previous caesarean section, wh...
Primary Hepatic Hydatid Cysts: Case Reports
Particularly common in countries with extensive agriculture and livestock, hydatid cyst is a parasitic disease caused by the cestode Echinococcus granulosus, which infects humanmostly through dog faeces. Among the genus...
Atypical Presentations in Neurofibromatosis- A Series of Five Cases
:Neurofibromasis is the most common phacomatosis having a frequency of approximately 1 case per 3500 persons in general population. The syndrome of neurofibromasis consists of two distinct genetic diseases with considera...
Ranula Arising From Sublingual Gland
Oral ranula is a retention cyst arising from the sublingual gland on the floor of the mouth as a result of ductal obstruction and fluid retention1. Management of ranula becomes controversial. Various surgical options hav...