A middle-aged male patient with recurrent hypoglycemia was diagnosed as insulinoma according to the symptoms and the laboratory tests. Laboratory tests also showed low cortisol and adrenocortico-tropic hormone (ACTH) levels, therefore adrenal insufficiency was diagnosed and hydrocortisone was given. The hormone replacement therapy was terminated after surgery, and ACTH and cortisol levels returned to normal.
一例中年男性反复发生低血糖的患者，经过各项相关检查诊断为胰岛素瘤。患者促肾上腺皮质激素和皮质醇水平低，推测存在继发性肾上腺皮质功能不全，补充糖皮质激素后行胰岛素瘤切除术。术后停激素替代疗法，患者促肾上腺皮质激素和皮质醇水平正常，生理节律恢复。