J Korean Diabetes Assoc.
2004 Feb;28(1):45-50.
A Case of Primary Insulin Autoimmune Syndrome in a Patient Suspected of Having an Insulinoma
- Affiliations
-
- 1Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Abstract
- Insulin autoimmune syndrome consists of fasting hypoglycemia, hyperinsulinemia and detectable insulin-binding antibodies in patients never been exposed to exogenous insulin. Most affected patients present with other autoimmune disorders, most often Graves' disease. A significant increase in the insulin and C-peptide plasma concentrations and the presence of other anti organ antibodies are also observed. Awareness of insulin autoimmune syndrome hypoglycemia is important as this may produce severe neuroglycopenic symptoms, which may be confused with the presence of an insulinoma. The correct diagnosis is important to avoid unnecessary surgical intervention in patients who are best treated with conservative support, watchful waiting, or in some cases, immunosuppressive therapy. Herein, a case of autoimmune insulin syndrome, suspected as being an insulinoma is reported.
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- A case of autoimmune hypoglycemia during treatment with anti-tuberculosis drugs
- Insulin autoimmune syndrome associated with alpha-lipoic acid in a young woman with no concomitant disease
- A case of adult nesidioblastosis mimicking an insulinoma and autoimmune hypoglycemia
- A case of autoimmune insulin syndrome
- A Case of Insulin Autoimmune Syndrome in a Patient with Partial Hypopituitarism
