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Medicine

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Endocrine

Question
12 out of 15
 

False about Nesidioblastosis is (PNQ)



A Endogenous hyperinsulinemia

B Beta cell hypertrophy

C Common in elderly

D All are true

Ans. C

Common in elderly

Recent Advances: Other Causes of Hypoglycemia (Ref. Hari 18th ed., Pg- 3008)

1). Nesidioblastosis some patients (usually infants and young adults) have fasting endogenous hyperinsulinemic hypoglycemia. The have diffuse islet involvement with beta-cell hypertrophy and sometimes hyperplasia, Beta-cells budding from ducts may be present.

2). Non insulinoma pancreatogenous hypoglycemia these patients have a similar islet pattern as in nesidioblastosis but have postprandial hypoglycemia.

3). Post–gastric bypass postprandial hypoglycemia also involves diffuse islet involvement and endogenous hyperinsulinism. It most often follows Roux en Y gastric bypass.

Endocrine Flashcard List

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