{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T05:51:31Z","timestamp":1775195491210,"version":"3.50.1"},"reference-count":30,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2015,1,12]]},"abstract":"<jats:p>Falls due to hypoglycaemia in the elderly is usually a complication of diabetic treatment. In the absence of diabetes, hypoglycaemia may be due to insulin or insulin-like producing tumours. The Doege-Potter syndrome is a rare paraneoplastic syndrome, characterised by non-islet cell tumour hypoglycaemia (NICTH) secondary to a solitary fibrous tumour that secretes insulin-like growth factor (IGF) 2. Definitive treatment of hypoglycaemia due to NICTH is by tumour resection. Our patient was a 78-year-old woman admitted after a fall with a facial injury and a history of significant weight loss. Her blood sugar was persistently low despite intravenous dextrose infusion. CT of the thorax revealed a large heterogeneous mass measuring 11.6\u00d716.3\u00d715.6\u2005cm in the right hemithorax. A biopsy of the mass was reported as a solitary fibrous tumour. Biochemical investigations revealed low insulin, C-peptide, IGF-1 and a high IGF-2:IGF-1 ratio, consistent with NICTH. The patient underwent tumour resection and the hypoglycaemia normalised completely immediately after surgery.<\/jats:p>","DOI":"10.1136\/bcr-2014-207995","type":"journal-article","created":{"date-parts":[[2015,1,30]],"date-time":"2015-01-30T07:08:43Z","timestamp":1422601723000},"page":"bcr2014207995","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":10,"title":["A common problem in the elderly with an uncommon cause: hypoglycaemia secondary to the Doege-Potter syndrome"],"prefix":"10.1136","volume":"2015","author":[{"given":"Cheong Kiat Julian","family":"Tay","sequence":"first","affiliation":[{"name":"National University of Singapore, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hui Lin","family":"Teoh","sequence":"additional","affiliation":[{"name":"Department of Geriatric Medicine, Khoo Teck Puat Hospital, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Su","family":"Su","sequence":"additional","affiliation":[{"name":"Department of Geriatric Medicine, Khoo Teck Puat Hospital, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2015,1,30]]},"reference":[{"key":"2025082804461814000_2015.jan30_1.bcr2014207995.1","unstructured":"King MB , Falls. 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