منابع مشابه
Rare Cause of Recurrent Hypoglycemia: Insulin Autoimmune Syndrome
We report a case of insulin autoimmune syndrome associated with several autoantibodies, presenting with recurrent hypoglycemia, predominantly in the postprandial period, which improved by dietary management and spontaneously resolved within two months. Differentiation from other causes of hyperinsulinemic hypoglycemia, such as insulinoma, is important to avoid unnecessary invasive procedures or...
متن کاملInsulin Autoimmune Syndrome: a rare cause of postprandial hypoglycemia
A 65-year-old obese Caucasian woman presented with symptomatic postprandial hypoglycemic episodes, resolution of symptoms with carbohydrate intake and significantly elevated anti-insulin antibody levels. She did not have any evidence for the use of oral antidiabetic medications, insulin, herbal substances, performing strenuous exercise or history of bariatric surgery. Fingerstick blood glucose ...
متن کاملResolution of Hypoglycemia and Cardiovascular Dysfunction After Rituximab Treatment of Insulin Autoimmune Syndrome.
A 37-year-old female presented to the emergency department after having collapsed; venous glucose measured 50 mg/dL. She reported recurrent dizziness since the birth of her fifth child 10 months previously and had recorded low capillary blood glucose (36–52 mg/dL) when symptomatic. Her history included gestational diabetes during the most recent pregnancy, treated with insulin aspart, insulin g...
متن کاملClopidogrel-Induced Insulin Autoimmune Syndrome: A Newly Recognized Cause of Hypoglycemia in a Patient Without Diabetes
Insulin autoimmune syndrome (IAS), defined as hyperinsulinemic hypoglycemia with high titers of anti-insulin antibodies, is frequently reported in Japanese patients but rarely observed in whites. We report in this study on a 79-year-old white male without diabetes who developed IAS following exposure to clopidogrel, a drug not previously known to cause hypoglycemia. The patient presented with r...
متن کاملCharacterization of circulating insulin and proinsulin-binding antibodies in autoimmune hypoglycemia.
Five patients with fasting and(or) postprandial hypoglycemia were found to have insulin antibodies in the absence of previously documented immunization. Studies on the equilibrium-binding of insulin to the autoantibodies revealed two classes of binding sites with association constants and binding capacities analogous to those of insulin antibodies from insulin-treated diabetic patients. Similar...
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ژورنال
عنوان ژورنال: Obesity and metabolism
سال: 2018
ISSN: 2306-5524,2071-8713
DOI: 10.14341/omet9536