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 80
- Downloads 0
Endoscopic Total Remove of Sellar and Suprasellar Papilloma Tumor: A Rare Case Report and Review of the Literature
Papillary tumor of the pineal parenchyma (PTPP) is a rare entity of pineal region [1]. We report a first case of a PTPP developed in the sellar and suprasellar region. It is about Ms. CGL, 52 years old, who presented a h...
Solitary Retinal Capillary Haemangioblastoma: A Case Report
Abstract: Retinal capillary hemangioblastomas (RCH) are usually associated with von Hippel-Lindau (VHL) disease although they may present as a solitary tumour without systemic involvement. We present a case report on a h...
Migrating Foreign Body in the Thyroid
Foreign bodies have routinely been found in pharynx and esophagus. Sometimes they penetrate the pharynx and find their way into the neck. Normally if they have sharp edges like metal clips or Fish bones, finding their wa...
Morbid Cardiac Lesional Association Promoting an Acute Ischemia of Pelvic Member by Paradoxal Emboly
Abstract: We report a clinical case of paradoxical embolism in a 22 years old female patient who has been admitted in hospital with acute left lower limb ischemia. In her previous medical history, 3 times early-miscarria...
A Rare Case of Chylothrax Following Surgery of Congenital Diaphragmatic Hernia
Chylothorax is a accumulation of lymphatic fluid in the pleural cavity and its occurrence as a post-operative complication following repair of congenital diaphragmatic hernia is rare. We report here a newborn with this...