胰岛素自身免疫综合征：荷兰第二例病例。

Insulin autoimmune syndrome: the second Dutch case.

作者信息

Konijnendijk M A, Zandbergen A A, Verheul F E, Baggen M G

机构信息

Department of Internal Medicine, Ikazia Hospital, Rotterdam, The Netherlands.

出版信息

Neth J Med. 2001 Jan;58(1):18-21. doi: 10.1016/s0300-2977(00)00096-6.

DOI:10.1016/s0300-2977(00)00096-6

PMID:11137746

Abstract

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.

摘要

胰岛素自身免疫综合征（IAS）是日本自发性低血糖的第三大主要病因。在此，我们描述第二例荷兰病例。一名81岁男性因晕倒和定向障碍发作接受分析，在发作期间被发现存在低血糖。所进行的禁食试验结果呈阳性。发现餐后胰岛素和C肽水平升高以及存在胰岛素抗体。诊断为IAS。