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Article
February 1948

ASSOCIATION OF SPONTANEOUS HYPOGLYCEMIA WITH HYPOCALCEMIA AND ELECTROCEREBRAL DYSFUNCTION

Author Affiliations

NEW YORK

From the departments of medicine (Division of Metabolism) and neurology and psychiatry, New York Post-Graduate Medical School and Hospital, and the New York State Psychiatric Institute.

Arch Intern Med (Chic). 1948;81(2):184-202. doi:10.1001/archinte.1948.00220200072008
Abstract

SPONTANEOUS hypoglycemia, because of its varied symptomatology, can easily simulate a number of pathologic conditions, in particular epilepsy, narcolepsy, hysteria, psychoneurosis, hyperthyroidism, hypoparathyroidism, cardiac neurosis and angina-like symptoms.

While hypoglycemia simulating other diseases is now reported with rising frequency, little has been written on the coexistence of spontaneous hypoglycemia with other conditions of similar symptomatology. In this paper we should like to present observations on spontaneous hypoglycemia associated with electrocerebral dysfunction and hypocalcemia. Because of the similarity of the clinical picture in all three conditions the recognition of their coexistence appears to be of clinical importance.

MATERIAL AND METHODS  A group of 8 patients presenting symptoms usually observed in psychoneurosis, spontaneous hypoglycemia or hypocalcemia were studied. The glucose tolerance tests were carried out by the routine oral method. The blood sugar contents were determined by the Folin-Wu method from samples of venous blood obtained while the patients were in

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