Autoimmune hypoglycemia

被引：71

作者：

Redmon, JB

Nuttall, FQ

机构：

[1] Univ Minnesota, Sch Med, Dept Med, Div Endocrinol Diabet & Metab, Minneapolis, MN 55455 USA

[2] Minneapolis Vet Affairs Med Ctr, Sect Endocrinol Metab & Nutr, Minneapolis, MN USA

来源：

ENDOCRINOLOGY AND METABOLISM CLINICS OF NORTH AMERICA | 1999年 / 28卷 / 03期

关键词：

D O I：

10.1016/S0889-8529(05)70090-6

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Autoimmune hypoglycemia is a rare but fascinating syndrome of hypoglycemia caused by the interaction of endogenous antibodies with insulin or the insulin receptor. Awareness of autoimmune hypoglycemia is important because the syndrome may produce severe neuroglycopenic symptoms and may be confused with the presence of an insulinoma. A correct diagnosis is important to avoid unnecessary surgical intervention in patients who are best treated with conservative support, watchful waiting, or in some cases, immunosuppressive therapy.

引用

收藏

页码：603 / +

页数：17

相关论文

共 68 条

[41] INSULIN AUTOANTIBODIES - THEIR ROLE IN THE PATHOGENESIS OF IDDM [J].

PALMER, JP .

DIABETES-METABOLISM REVIEWS, 1987, 3 (04) :1005-1015

[42] DIABETES-MELLITUS CAUSED BY INSULIN-RECEPTOR BLOCKADE AND IMPAIRED SENSITIVITY TO INSULIN [J].

PEDERSEN, O ;

HJOLLUND, E ;

BECKNIELSEN, H ;

KROMANN, H .

NEW ENGLAND JOURNAL OF MEDICINE, 1981, 304 (18) :1085-1088

[43] THE INFLUENCE OF INSULIN-ANTIBODIES ON THE PHARMACOKINETICS OF NPH INSULIN IN PATIENTS WITH TYPE-1 DIABETES TREATED WITH HUMAN INSULIN [J].

PETERS, A ;

KLOSE, O ;

HEFTY, R ;

KECK, F ;

KERNER, W .

DIABETIC MEDICINE, 1995, 12 (10) :925-931

[44] HYPOGLYCEMIA DUE TO A MONOCLONAL INSULIN-BINDING ANTIBODY IN MULTIPLE-MYELOMA [J].

REDMON, B ;

PYZDROWSKI, KL ;

ELSON, MK ;

KAY, NE ;

DALMASSO, AP ;

NUTTALL, FQ .

NEW ENGLAND JOURNAL OF MEDICINE, 1992, 326 (15) :994-998

[45] Hypoglycemia after pancreas transplantation [J].

Redmon, JB ;

Teuscher, AU ;

Robertson, RP .

DIABETES CARE, 1998, 21 (11) :1944-1950

[46] THE 1ST REPORTED CASE OF HYPOGLYCEMIA AS THE PRESENTING FEATURE OF INVASIVE PLASMACYTOMA WITH A PARAPROTEIN BAND AND GROSSLY ELEVATED INSULIN LEVELS [J].

RUSSELLJONES, DL ;

THOMAS, SM ;

SIMPSON, RD ;

BEVAN, PC ;

BATEMAN, CJT .

BRITISH JOURNAL OF HAEMATOLOGY, 1990, 76 (01) :151-153

[47] Recurrent hypoglycaemia caused by the insulin autoimmune syndrome: The first Dutch case [J].

Schlemper, RJ ;

Uchigata, Y ;

Frolich, M ;

Vingerhoeds, ACM ;

Meinders, AE .

NETHERLANDS JOURNAL OF MEDICINE, 1996, 48 (05) :188-192

[48] CHARACTERIZATION OF CIRCULATING INSULIN IN INSULIN AUTOIMMUNE SYNDROME [J].

SEINO, S ;

FU, ZZ ;

MARKS, W ;

SEINO, Y ;

IMURA, H ;

VINIK, A .

JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 1986, 62 (01) :64-69

[49] AUTOIMMUNE THROMBOCYTOPENIA AND PRIMARY BILIARY-CIRRHOSIS WITH HYPOGLYCEMIA AND INSULIN-RECEPTOR AUTOANTIBODIES - A CASE-REPORT [J].

SELINGER, S ;

TSAI, J ;

PULINI, M ;

SAPERSTEIN, A ;

TAYLOR, S .

ANNALS OF INTERNAL MEDICINE, 1987, 107 (05) :686-688

[50] EVIDENCE THAT 2 NATURALLY-OCCURRING HUMAN INSULIN-RECEPTOR ALPHA-SUBUNIT VARIANTS ARE IMMUNOLOGICALLY DISTINCT [J].

SESTI, G ;

MARINI, MA ;

MONTEMURRO, A ;

CONDORELLI, L ;

BORBONI, P ;

HARING, HU ;

ULLRICH, A ;

GOLDFINE, ID ;

DEPIRRO, R ;

LAURO, R .

DIABETES, 1992, 41 (01) :6-11

← 1 2 3 4 5 6 7 →