A rare case of adult-onset XXXX treated successfully with @entity6335 .

@entity1 @entity788 @entity11448 @entity5 @entity1184 @entity6335 @entity4053 @entity3190 @entity460 @entity413 @entity54587
A 54-year-old @entity1 was admitted to our hospital for evaluation of @entity4053 . He had frequent episodes of loss of concentration before dinner. The ratio of IRI to plasma @entity413 (PG) was 0.8-1.0. Abdominal CT revealed no @entity788 , and angiography of splenic artery showed no definite @entity5 stain within the pancreas. Based on the results of selective arterial @entity460 stimulation and hepatic venous sampling (ASVS), the provisional diagnosis was a small insulinoma in the pancreatic body. The @entity1 underwent subtotal distal pancreatectomy. However, histopathological and immunohistochemical examinations of the resected tissue showed @entity1184 of islets of Langerhans islands and beta cells around pancreatic ducts. The final diagnosis was adult-onset @entity11448 . Postoperatively, the @entity1 continued to exhibit @entity3190 and @entity4053 . Octreotide, @entity54587 and diet therapies failed to improve the @entity4053 . However, treatment with @entity6335 at a starting dose of 200 mg/day resulted in immediate amelioration of @entity4053 . This is the first Japanese adult case of @entity11448 treated successfully with @entity6335 . This case report suggests that @entity6335 may be effective for adult-onset @entity11448 in a manner similar to that described for pediatric cases.
