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REPORT OF A CASE

JOSEPH G. RUSHTON, M.D.; RICHARD W. CRAGG, M.D.; LEONARD K. STALKER, M.D.

Arch Intern Med. 1940;66(3):531-540.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

It has been established that hypoglycemia may be due to a variety of causes. In some cases disturbance of the islets of Langerhans, such as hyperplasia,¹ adenoma² or carcinoma,³ has been responsible. In other instances disease of the liver⁴ or insufficiency of the pituitary body⁵ or of the adrenal glands⁶ has given rise to severe and at times fatal hypoglycemic attacks. There have been reported numerous other explanations for hypoglycemia, such as lactation, muscular wasting, renal glycosuria, excessive fatigue and fasting.⁷ These conditions only rarely produce severe symptoms. Because cases of severe spontaneous hypoglycemia of extrapancreatic origin are less frequently reported than cases of hypoglycemia due to islet cell changes, it is of interest to report a case in which the hypoglycemia is considered due to insufficiency of the adrenal glands.

REPORT OF CASE

The patient was admitted to the Rochester State Hospital on Feb. 7, 1939, with a history . . . [Full Text PDF of this Article]

Author Affiliations
Fellow in Medicine, the Mayo Foundation; Assistant Surgeon, the Mayo Clinic ROCHESTER, MINN.

From the Section on Pathologic Anatomy, the Mayo Clinic.