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
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
[51]   INSULIN AUTOIMMUNE SYNDROME AS A CAUSE OF SPONTANEOUS HYPOGLYCEMIA IN ALCOHOLIC CIRRHOSIS [J].
SHAH, P ;
MARES, D ;
FINEBERG, SE ;
PESCOVITZ, M ;
FILO, R ;
JINDAL, R ;
MAHONEY, S ;
LUMENG, L .
GASTROENTEROLOGY, 1995, 109 (05) :1673-1676
[52]   SPONTANEOUS HYPOGLYCEMIA ASSOCIATED WITH AUTOIMMUNITY SPECIFIC TO HUMAN INSULIN [J].
SKLENAR, I ;
WILKIN, TJ ;
DIAZ, JL ;
ERB, P ;
KELLER, U .
DIABETES CARE, 1987, 10 (02) :152-159
[53]   MONOCLONAL GAMMOPATHY WITH AN INSULIN BINDING IGG(K) M-COMPONENT, ASSOCIATED WITH SEVERE HYPOGLYCEMIA [J].
SLUITER, WJ ;
MARRINK, J ;
HOUWEN, B .
BRITISH JOURNAL OF HAEMATOLOGY, 1986, 62 (04) :679-687
[54]   A case of a non-insulin dependent diabetic patient with regular spontaneous hypoglycemic attacks, which were due to insulin-binding antibodies induced by human insulin therapy [J].
Suzuki, K ;
Hirayama, S ;
Ito, S .
TOHOKU JOURNAL OF EXPERIMENTAL MEDICINE, 1997, 182 (02) :163-173
[55]   SYNDROMES OF AUTOIMMUNITY AND HYPOGLYCEMIA - AUTOANTIBODIES DIRECTED AGAINST INSULIN AND ITS RECEPTOR [J].
TAYLOR, SI ;
BARBETTI, F ;
ACCILI, D ;
ROTH, J ;
GORDEN, P .
ENDOCRINOLOGY AND METABOLISM CLINICS OF NORTH AMERICA, 1989, 18 (01) :123-143
[56]   HYPOGLYCEMIA ASSOCIATED WITH ANTIBODIES TO THE INSULIN-RECEPTOR [J].
TAYLOR, SI ;
GRUNBERGER, G ;
MARCUSSAMUELS, B ;
UNDERHILL, LH ;
DONS, RF ;
RYAN, J ;
RODDAM, RF ;
RUPE, CE ;
GORDEN, P .
NEW ENGLAND JOURNAL OF MEDICINE, 1982, 307 (23) :1422-1426
[57]   ANTIINSULIN ANTIBODIES ARE A CAUSE OF HYPOGLYCEMIA FOLLOWING PANCREAS TRANSPLANTATION [J].
TRAN, MP ;
LARSEN, JL ;
DUCKWORTH, WC ;
RUBY, EI ;
MILLER, SA ;
FRISBIE, K ;
TAYLOR, RJ ;
STRATTA, RJ .
DIABETES CARE, 1994, 17 (09) :988-993
[58]   HYPOGLYCEMIA DUE TO INSULIN AUTOANTIBODY [J].
UCHIGATA, Y ;
HIRATA, Y ;
OMORI, Y .
AMERICAN JOURNAL OF MEDICINE, 1993, 94 (05) :556-557
[59]   STRONG ASSOCIATION OF INSULIN AUTOIMMUNE SYNDROME WITH HLA-DR4 [J].
UCHIGATA, Y ;
KUWATA, S ;
TOKUNAGA, K ;
EGUCHI, Y ;
TAKAYAMAHASUMI, S ;
MIYAMOTO, M ;
OMORI, Y ;
JUJI, T ;
HIRATA, Y .
LANCET, 1992, 339 (8790) :393-394
[60]   PATIENTS WITH GRAVES-DISEASE WHO DEVELOPED INSULIN AUTOIMMUNE SYNDROME (HIRATA DISEASE) POSSESS HLA-BW62/CW4/DR4 CARRYING DRB1-ASTERISK-0406 [J].
UCHIGATA, Y ;
KUWATA, S ;
TSUSHIMA, T ;
TOKUNAGA, K ;
MIYAMOTO, M ;
TSUCHIKAWA, K ;
HIRATA, Y ;
JUJI, T ;
OMORI, Y .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 1993, 77 (01) :249-254