Tamoxifen-induced hyperosmolar hyperglycemic state secondary to suspected pancreatic beta cell inflammation

Selective estrogen receptor modulators, such as tamoxifen, have been used for many years to reduce the recurrence of breast cancer. There is limited data on tamoxifen use in males with breast cancer. Hyperglycemia or risk of diabetes is not listed on the package insert for tamoxifen. In this clinica...

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Main Authors: Billie Radovic, Caitlyn Cummings, Lubaina Presswala, Ronald Rosen
Format: Article
Language:English
Published: Elsevier 2020-12-01
Series:Current Problems in Cancer: Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666621920300077
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spelling doaj-ab47d38289084d0684915cd9752f90b82021-09-03T04:47:58ZengElsevierCurrent Problems in Cancer: Case Reports2666-62192020-12-011100007Tamoxifen-induced hyperosmolar hyperglycemic state secondary to suspected pancreatic beta cell inflammationBillie Radovic0Caitlyn Cummings1Lubaina Presswala2Ronald Rosen3Department of Medicine, Long Island Jewish Medical Center, 755 North Broadway, Suite 100, Sleepy Hollow, Hyde Park, New York, United States; Corresponding author.Department of Pharmacy, Long Island Jewish Medical Center, New Hyde Park, New York, United StatesDivision of Endocrinology, Diabetes and Metabolism, Long Island Jewish Medical Center, New Hyde Park, New York, United States; Assistant Professor of Medicine, Zucker School of Medicine, Hofstra University, Hempstead, New York, United StatesDepartment of Medicine, Chief Emeritus, Long Island Jewish Medical Center, New Hyde Park, New York, United States; Assistant Professor of Medicine, Zucker School of Medicine, Hofstra University, Hempstead, New York, United StatesSelective estrogen receptor modulators, such as tamoxifen, have been used for many years to reduce the recurrence of breast cancer. There is limited data on tamoxifen use in males with breast cancer. Hyperglycemia or risk of diabetes is not listed on the package insert for tamoxifen. In this clinical case, one patient presented with hyperosmolar hyperglycemic state two months after starting tamoxifen for male breast cancer. Discontinuation of tamoxifen resulted in decreased hemoglobin A1c levels back to baseline and rebound of C- peptide levels.http://www.sciencedirect.com/science/article/pii/S2666621920300077Adjuvant hormonal therapyBreast cancerDiabetesTamoxifenHyperglycemic hyperosmolar state
collection DOAJ
language English
format Article
sources DOAJ
author Billie Radovic
Caitlyn Cummings
Lubaina Presswala
Ronald Rosen
spellingShingle Billie Radovic
Caitlyn Cummings
Lubaina Presswala
Ronald Rosen
Tamoxifen-induced hyperosmolar hyperglycemic state secondary to suspected pancreatic beta cell inflammation
Current Problems in Cancer: Case Reports
Adjuvant hormonal therapy
Breast cancer
Diabetes
Tamoxifen
Hyperglycemic hyperosmolar state
author_facet Billie Radovic
Caitlyn Cummings
Lubaina Presswala
Ronald Rosen
author_sort Billie Radovic
title Tamoxifen-induced hyperosmolar hyperglycemic state secondary to suspected pancreatic beta cell inflammation
title_short Tamoxifen-induced hyperosmolar hyperglycemic state secondary to suspected pancreatic beta cell inflammation
title_full Tamoxifen-induced hyperosmolar hyperglycemic state secondary to suspected pancreatic beta cell inflammation
title_fullStr Tamoxifen-induced hyperosmolar hyperglycemic state secondary to suspected pancreatic beta cell inflammation
title_full_unstemmed Tamoxifen-induced hyperosmolar hyperglycemic state secondary to suspected pancreatic beta cell inflammation
title_sort tamoxifen-induced hyperosmolar hyperglycemic state secondary to suspected pancreatic beta cell inflammation
publisher Elsevier
series Current Problems in Cancer: Case Reports
issn 2666-6219
publishDate 2020-12-01
description Selective estrogen receptor modulators, such as tamoxifen, have been used for many years to reduce the recurrence of breast cancer. There is limited data on tamoxifen use in males with breast cancer. Hyperglycemia or risk of diabetes is not listed on the package insert for tamoxifen. In this clinical case, one patient presented with hyperosmolar hyperglycemic state two months after starting tamoxifen for male breast cancer. Discontinuation of tamoxifen resulted in decreased hemoglobin A1c levels back to baseline and rebound of C- peptide levels.
topic Adjuvant hormonal therapy
Breast cancer
Diabetes
Tamoxifen
Hyperglycemic hyperosmolar state
url http://www.sciencedirect.com/science/article/pii/S2666621920300077
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AT caitlyncummings tamoxifeninducedhyperosmolarhyperglycemicstatesecondarytosuspectedpancreaticbetacellinflammation
AT lubainapresswala tamoxifeninducedhyperosmolarhyperglycemicstatesecondarytosuspectedpancreaticbetacellinflammation
AT ronaldrosen tamoxifeninducedhyperosmolarhyperglycemicstatesecondarytosuspectedpancreaticbetacellinflammation
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