Treatment of recurrent hypoglycemia with plasmapheresis and steroid in nondiabetic patient

Küçük Resim Yok

Tarih

2013

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

PERGAMON-ELSEVIER SCIENCE LTD

Erişim Hakkı

info:eu-repo/semantics/closedAccess

Özet

We recently encountered a 35-year old man who suffered from frequent hypoglycemia. His blood test revealed the presence of high and suppressed level of insulin with supressed C-peptide levels, hypothalamic-pituitary axis was normal response in hypoglycemia and negative for anti-insulin antibody. Endocrinological and imaging data eliminated the possibility of insulinoma. His symptoms responded well to the therapy of prednisolone (60 mg/day) and plasmapheresis. We followed up the patient over the subsequent 6 months without remarkable lesions. He has had no further recurrences of hypoglycemia. We believe that the antiinsulin receptor antibody might have induced hypoglycemia in this patient. (C) 2012 Elsevier Ltd. All rights reserved.

Açıklama

Anahtar Kelimeler

Hypoglycemia, Antiinsulin receptor antibody-Predonisolone-Plasmaferesis

Kaynak

TRANSFUSION AND APHERESIS SCIENCE

WoS Q Değeri

Q4

Scopus Q Değeri

Q3

Cilt

48

Sayı

1

Künye