Department of Pathology and Laboratory Medicine, University of Wisconsin Hospital and Clinics, Madison, WI.
Department of Anesthesiology, University of Wisconsin Hospital and Clinics, Madison, WI.
J Clin Apher. 2020 Apr;35(2):128-130. doi: 10.1002/jca.21769. Epub 2020 Jan 25.
A 32-year-old male with type I diabetes presented with profound hypoglycemia due to exogenous insulin antibody syndrome in the setting of newly-diagnosed common variable immunodeficiency. Immunomodulatory therapy was not initially effective, but after the initiation of plasma exchange hypoglycemia resolved, and glucose lability improved.
一位 32 岁男性,患有 I 型糖尿病,因新发普通变异性免疫缺陷症导致外源性胰岛素抗体综合征而出现严重低血糖。免疫调节治疗最初无效,但开始血浆置换后低血糖得到缓解,血糖波动得到改善。