KARL PICKARD, M.D., F.A.C.P.; JOSEPH J. KELTER, M.D.; ROBERT E. ROTHENBERG, M.D., F.A.C.S.
The following case is reported because it demonstrates vividly the ramifications and complications brought about by severe hyperinsulinism. It is also interesting in that the symptomatology masked the true diagnosis for almost two years and led to many widely varying avenues of preliminary investigation.
A 60 year old white printer gave a history of having been in excellent health all his life until the early part of 1949, when he would awaken in the morning in a "confused and foggy state." He stated that his mind would clear in one-half hour to one hour after breakfast. His past
PICKARD K, KELTER JJ, ROTHENBERG RE. ISLET CELL TUMOR OF THE PANCREAS WITH SURGICAL CURE1. Ann Intern Med. ;38:1306–1313. doi: 10.7326/0003-4819-38-6-1306
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Published: Ann Intern Med. 1953;38(6):1306-1313.
Gastroenterology/Hepatology, Gastrointestinal Cancer, Hematology/Oncology, Pancreatic Cancer, Pancreatic Disease.
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