A case of systemic lupus erythematosus presenting as hypoglycemia due to anti-insulin receptor antibodies

Rheumatology International

Volumn 29, Issue 1, 2008, Pages 103-105

  Kato, Yuuka ^a   Ichiki, Yoshiro ^a   Kitajima, Yasuo ^a  

^a GIFU UNIVERSITY   (Japan)

Author keywords

Hypoglycemia; Insulin receptor; Predonisolone; Systemic lupus erythematosus; Type B insulin resistance syndrome

Indexed keywords

ANTINUCLEAR ANTIBODY; ASPARTATE AMINOTRANSFERASE; C PEPTIDE; CREATINE KINASE; DNA ANTIBODY; DOUBLE STRANDED DNA ANTIBODY; GLUCOSE; HEMOGLOBIN; IMMUNOGLOBULIN G ANTIBODY; INSULIN; INSULIN RECEPTOR ANTIBODY; LA ANTIBODY; LACTATE DEHYDROGENASE; PHOSPHOLIPID ANTIBODY; PREDNISOLONE; RO ANTIBODY;

ADULT; ANTIBODY DETECTION; ANTIBODY TITER; ARTICLE; ASPARTATE AMINOTRANSFERASE BLOOD LEVEL; BLOOD EXAMINATION; CASE REPORT; COMPUTER ASSISTED TOMOGRAPHY; CONSCIOUSNESS LEVEL; CONTINUOUS INFUSION; CREATINE KINASE BLOOD LEVEL; DRUG DOSE INCREASE; DRUG DOSE REDUCTION; EMERGENCY WARD; ERYTHROCYTE COUNT; FEMALE; FOLLOW UP; HEMOGLOBIN BLOOD LEVEL; HOSPITAL ADMISSION; HUMAN; HYPOGLYCEMIA; IMMUNOGLOBULIN BLOOD LEVEL; INSULIN BLOOD LEVEL; INSULIN RESISTANCE; KIDNEY FUNCTION; LABORATORY TEST; LACTATE DEHYDROGENASE BLOOD LEVEL; LEUKOCYTE COUNT; LIVER FUNCTION; NUCLEAR MAGNETIC RESONANCE IMAGING; ORAL GLUCOSE TOLERANCE TEST; PHYSICAL EXAMINATION; PRIORITY JOURNAL; SYSTEMIC LUPUS ERYTHEMATOSUS; THORAX RADIOGRAPHY; TREATMENT DURATION; URINALYSIS;

ADULT; AUTOANTIBODIES; DIAGNOSIS, DIFFERENTIAL; FEMALE; GLUCOCORTICOIDS; HUMANS; HYPOGLYCEMIA; INSULIN ANTIBODIES; LUPUS ERYTHEMATOSUS, SYSTEMIC; PREDNISOLONE; RECEPTOR, INSULIN; TREATMENT OUTCOME;

EID: 53149129828     PISSN: 01728172     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00296-008-0617-5     Document Type: Article

References (11)

1. GG Fareau M Maldonado E Oral A Balasubramanyam 2007 Regression of acanthosis nigricans correlates with disappearance of anti-insulin receptor autoantibodies and achievement of euglycemia in type B insulin resistance syndrome Metabolism 56 670 675
2. M Kobayashi 1992 Anti-insulin receptor antibody and insulin resistance Folia Endocrinol 68 11 18
3. E Arioglu A Andewelt C Diabo M Bell SI Taylor P Gorden 2002 Clinical course of the syndrome of autoantibodies to insulin receptor (type B insulin resistance): a 28-year perspective Medicine (Baltimore) 81 87 100
4. DE Moller RE Ratner DG Rosenstein SI Taylor 1987 Antibodies to the insulin receptor as a cause of autoimmune hypoglycemia in systemic lupus erythematosus Am J Med 84 334 338
5. CR Kahn JS Flier RS Bar JA Archer P Gorden MM Martin J Roth 1976 The syndromes of insulin resistance and acanthosis nigricans. Insulin-receptor disorders in man N Engl J Med 294 739 45
6. Y Nagayama H Morita D Komukai S Watanabe A Yoshimura 2008 Type B insulin resistance syndrome induced by increased activity of systemic lupus erythematosus in a hemodialysis patient Clin Nephrol 69 130 134
7. Y Awazu K Saito A Kubota K Fujii S Nakayamada Y Fujii T Ota Y Tanaka 2001 Recurrent hypoglycemic attack due to anti-insulin receptor antibodies in a patient with systemic lupus erythematosus Kyushu ryumachi (Japanese) 20 42 46
8. ED Rosenstein S Advani RE Reitz N Kramer 2001 The prevalence of insulin receptor antibodies in patients with systemic lupus erythematosus and related conditions J Clin Rheumatol 7 371 373
9. EJ Feinglass FC Arnett CA Dorsch TM Zizic MB Stevens 1976 Neuropsychiatric manifestations of systemic lupus erythematosus: diagnosis, clinical spectrum, and relationship to other features of the disease Medicine (Baltimore) 55 323 329
10. J Varga M Lopatin G Boden 1990 Hypoglycemia due to antiinsulin receptor antibodies in systemic lupus erythematosus J Rheumatol 17 1226 1229
11. AP Coll D Morganstein D Jayne MA Soos S O'Rahilly J Burke 2005 Successful treatment of type B insulin resistance in a patient with otherwise quiscent systemic lupus erythematosus Diabet Med 22 814 815