Clinical Diabetes 2006;7(2):181-185.
만성 신부전 환자에서 발생한 저혈당을 동반한 인슐린 자가면역 증후군 1예
권기현, 이준철, 이인석, 김윤정, 나소영, 이강욱, 송민호, 노흥규, 김영건, 구본정
A One Case of Insulin Autoimmune Syndrome with Hypoglycemia in Patient with Chronic Renal Failure
Ki Hyun Kwon, Jun Chul Lee, Ihn Suk Lee, Yun Jeung Kim, So Young Rha, Kang Wook Lee, Min Ho Shong, Heung Kyu Ro, Young Kun Kim, Bon Jeong Ku
Abstract
Insulin autoimmune syndrome (IAS) is characterized by spontaneous hypoglycemia, extremely high insulin levels, and the presence of circulating insulin antibodies in patients who have never been exposed to exogenous insulin. IAS is usually related to autoimmune disease such as Graves` disease and to previous exposure to drugs. But, IAS has not been reported in patients with hemodialysis diagnosed chronic renal failure. Recently, we experienced one case that developed symptomatic hypoglycemia in chronic renal failure.
Key Words: Chronic renal failure, Insulin autoimmune syndrome, Insulin antibody, Hypoglycemia


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