标题：A 70-year-old man with hypoglycemia, clubbing of fingers and toes, and a large mass of the right hemithorax.
作者：Sun ZG;Wang Z;Zhang M
作者机构：[Sun, Z.-G] Department of Thoracic Surgery, Provincial Hospital, Shandong University, Jinan 250021, China, Jinan Center Hospital, Shandong University, 更多
通讯作者地址：[Wang, Z]Shandong Univ, Dept Thorac Surg, Prov Hosp Affiliated, Jinan 250021, Peoples R China.
来源：Chest: The Journal of Circulation, Respiration and Related Systems
摘要：A 70-year-old man with recurrent episodes of symptoms of severe hypoglycemia, including syncope, was referred to Provincial Hospital Affiliated to Shandong University. He had a history of smoking. He was found on examination to have marked finger clubbing, toe clubbing, and decreased breath sounds in the right lower chest, but no other significant clinical findings. Sputum cytology was negative for malignant cells. His blood glucose levels recorded over 3 consecutive days remained low despite continuous IV infusion of 10% dextrose.