Recurrent Insulin Autoimmune Syndrome Caused by alpha-Lipoic Acid in Type 2 Diabetes
Endocrinology and Metabolism
; : 326-330, 2013.
Article
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| WPRIM
| ID: wpr-141176
Biblioteca responsable:
WPRO
ABSTRACT
Insulin autoimmune syndrome (IAS) is characterized by spontaneous hypoglycemia caused by insulin autoantibodies in the absence of exogenous insulin administration. Some drugs containing sulfhydryl compounds are known to initiate the onset of IAS. A 67-year-old female who had diabetes for 5 years visited the outpatient clinic at our institution due to diabetic peripheral polyneuropathy. She was prescribed alpha-lipoic acid (ALA), which contains two sulfur atoms. Two weeks later, she complained of recurrent hypoglycemic symptoms. We detected a high level of insulin and high titers of insulin autoantibodies. Her human leukocyte antigen (HLA) genotype included the DRB1*0406 allele, which indicates a high level of susceptibility to IAS. She was treated with prednisolone. After this episode, she experienced two more hypoglycemic events after taking ALA for diabetic neuropathy in other hospitals. As ALA can be used to treat diabetic peripheral polyneuropathy, physician discretion is advised based on the possibility of IAS due to ALA in diabetic patients.
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Texto completo:
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Índice:
WPRIM
Asunto principal:
Polineuropatías
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Autoanticuerpos
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Compuestos de Sulfhidrilo
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Azufre
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Prednisolona
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Ácido Tióctico
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Neuropatías Diabéticas
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Alelos
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Instituciones de Atención Ambulatoria
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Genotipo
Límite:
Aged
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Female
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Humans
Idioma:
En
Revista:
Endocrinology and Metabolism
Año:
2013
Tipo del documento:
Article