title: [Recurrent hypoglycemia with elevated insulin levels in a 75-year-old man].
abstract: Hirata syndrome is a rare differential diagnosis for recurrent hypoglycemia. This immune-mediated disease is associated with the formation of autoantibodies targeting insulin. Although the syndrome resolves spontaneously in the majority of patients, our case illustrates that individual patients require continuous immunosuppressive therapy.
authors: Klinik für Innere Medizin II, Universitätsklinikum des Saarlandes, Kirrberger Str. 100, 66421, Homburg (Saar), Deutschland. katharina.grotemeyer@uks.eu
authors: K C
authors: KC
authors: Grotemeyer
authors: V
authors: V
authors: Zimmer
authors: B
authors: B
authors: Friesenhahn-Ochs
authors: F
authors: F
authors: Lammert
mesh_terms: D000368:Aged; D003937:Diagnosis, Differential; D006801:Humans; D006946:Hyperinsulinism / Q000097:blood* / Q000175:diagnosis / Q000188:drug therapy*; D007003:Hypoglycemia / Q000097:blood* / Q000175:diagnosis / Q000188:drug therapy*; D007166:Immunosuppressive Agents / Q000627:therapeutic use*; D007328:Insulin / Q000097:blood*; D008297:Male; D012008:Recurrence; D013577:Syndrome; D016896:Treatment Outcome
chemical_list: D007166:Immunosuppressive Agents; D007328:Insulin
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