Endocrine Abstracts

JOINT1503

M.A, 8 years, presented by frequent attacks of hypoglycemia during sleep, sweating, rigors and drowsiness Family history of T2DM grandmother on glibenclamide Sought medical consultation in which RBG was 28 mg/dl at presentation Critical sample was obtained, and the result were non ketotic, insulin was 21.74 mIU/ml (high), C-peptide 5 ng/ml (high), normal cortisol, ACTH, GH, pyruvate and lactate, FFAs HBA1C 4.9 Triphasic CT abdomen and pelvis was done and normal PET SCAN also normal No more attacks of hypoglycemia with admission in hospital Sulphonylurea drug screen was positive So he diagnosed as exogenous sulphonylurea consumption by mother (MUNCHAUSEN SYNDROME) in which the clinical picture may mimic an insulinoma with high levels of both insulin and c-peptide