<p>A middle-aged woman with end-stage renal disease (ESRD) due to obstructive nephropathy presented to the hospital for an episode of unresponsiveness and hypoglycaemia. Initially, she was diagnosed with hypoglycaemia associated with ESRD and was discharged. However, she returned to the hospital after experiencing tonic-clonic seizures and recurrent hypoglycaemia. Her hypoglycaemia workup revealed an elevated insulin-like growth factor 2 (IGF2) to IGF1 ratio consistent with paraneoplastic IGF2 secretion. A CT abdomen was done.</p>

MediSage Case Discussions

Explore a case of hypoglycaemia in ESRD linked to paraneoplastic IGF2 secretion, featuring seizures and diagnostic imaging insights.

End-Stage Renal Disease & Paraneoplastic IGF2 Secretion

End stage renal disease, nephropathy, hypoglycaemia, seizures

Clinical case discussion shared for educational purposes and professional medical opinion.

End stage renal disease, ...