Type B insulin resistance complicated with systemic lupus erythematosus.

نویسندگان

  • Shin-Ya Kawashiri
  • Atsushi Kawakami
  • Keita Fujikawa
  • Naoki Iwamoto
  • Toshiyuki Aramaki
  • Mami Tamai
  • Hideki Nakamura
  • Tomoki Origuchi
  • Hiroaki Ida
  • Katsumi Eguchi
چکیده

Type B insulin resistance is characterized by the appearance of autoantibodies to the insulin receptor. We present a 59-year-old Japanese man with type B insulin resistance complicated with systemic lupus erythematosus (SLE). A high titer of anti-insulin receptor autoantibodies was revealed when SLE was defined as active disease. Intravenous boluses of cyclophosphamide (IVCY) with oral prednisolone and cyclosporin A induced remission of SLE, and a subsequent disappearance of anti-insulin receptor autoantibodies, followed by a recovery of glucose intolerance. This is a rare and important case report showing a clear correlation between anti-insulin receptor autoantibodies of type B insulin resistance and SLE disease activity.

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عنوان ژورنال:
  • Internal medicine

دوره 49 5  شماره 

صفحات  -

تاریخ انتشار 2010