胰岛素自身免疫综合征(平田病):1例新发糖尿病白人患者

M. Sudano, F. Turchi, P. Sossai
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引用次数: 4

摘要

自发性低血糖的一个不寻常的原因是胰岛素自身免疫性综合征(或平田病),其特征是在没有胰岛素治疗的受试者中存在高水平的胰岛素血症和循环中的胰岛素自身抗体。在西方国家,迄今已公布的病例不到70例。在这里,我们报告一个病例,IAS是新发1型糖尿病的前驱期。HLA分型在西方病例中很少报道,这里我们也讨论了我们患者的特殊HLA分型。
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Insulin Autoimmune Syndrome (Hirata Disease): Case Report in a Caucasian Patient with New-Onset Diabetes
An unusual cause of spontaneous hypoglycemia is Insulin Autoimmune Syndrome (or Hirata Disease), characterized by high levels of insulinemia and circulating autoantibodies to insulin in subjects without prior insulin administration. In Western Countries less than 70 cases have been published so far. Here we report a case where IAS was the prodromical stage of new onset type 1 diabetes. HLA typing in IAS was rarely reported in Western cases, here we also discuss the peculiar HLA pattern of our patient.
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