Insulin Autoimmune Syndrome with Diabetic Ketoacidosis.
10.4093/jkd.2012.13.2.105
- Author:
Yeong Geol JO
1
;
Young Il KIM
;
Su Jin LEE
;
Ki Won KIM
;
Sung Wan CHUN
;
Yeo Joo KIM
;
Sang Jin KIM
Author Information
1. Department of Internal Medicine, Soonchunhyang University College of Medicine, Cheonan Hospital, Cheonan, Korea. yeojoo@schmc.ac.kr
- Publication Type:Case Report
- Keywords:
Diabetic ketoacidosis;
Hypoglycemia;
Insulin autoantibody
- MeSH:
Aged;
Autoantibodies;
Diabetic Ketoacidosis;
Female;
Humans;
Hypoglycemia;
Insulin
- From:Journal of Korean Diabetes
2012;13(2):105-109
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Insulin autoimmune syndrome is characterized by spontaneous hypoglycemia, elevated insulin level and a high level of insulin autoantibodies without previous insulin exposure. Among the clinical manifestations of insulin autoimmune syndrome, diabetic ketoacidosis is extremely rare. A 72-year-old diabetic woman was hospitalized with diabetic ketoacidosis. She suffered repeated fasting hypoglycemia after treatment of the diabetic ketoacidosis. Here we describe this case of insulin autoimmune syndrome manifested as diabetic ketoacidosis followed by recurrent hypoglycemia with a review of the relevant literature.