Insulin autoimmune syndrome: the second Dutch case.
The insulin autoimmune syndrome (IAS) is the third leading cause of spontaneous hypoglycaemia in Japan. Here, we describe the second Dutch case. An 81-year-old man was analysed for collapse and attacks of disorientation, and was found to be hypoglycaemic during such an episode. The performed fasting test appeared to be positive. High levels of insulin and C-peptide postprandially and insulin antibodies were found. IAS was diagnosed.
Konijnendijk
M A
MA
Department of Internal Medicine, Ikazia Hospital, Rotterdam, The Netherlands.
Zandbergen
A A
AA
Verheul
F E
FE
Baggen
M G
MG
D000368:Aged; D000369:Aged, 80 and over; D001327:Autoimmune Diseases / Q000175:diagnosis* / Q000188:drug therapy; D001786:Blood Glucose; D003981:Diazoxide / Q000008:administration & dosage; D005500:Follow-Up Studies; D006801:Humans; D007003:Hypoglycemia / Q000175:diagnosis / Q000276:immunology*; D007328:Insulin / Q000276:immunology* / Q000378:metabolism; D007330:Insulin Antibodies / Q000097:blood*; D008297:Male; D013577:Syndrome
D001786:Blood Glucose; D007328:Insulin; D007330:Insulin Antibodies; D003981:Diazoxide