Abstract
Hypoglycemic disorders are rare in persons without diabetes, and clinical evaluation to identify its etiology can be challenging. We present a case of insulin autoimmune syndrome induced by carbimazole in a middle-aged Chinese man with underlying Graves' disease, which was managed conservatively with a combination of dietary modification and alpha-glucosidase inhibitor.
Keywords:
endogenous hyperinsulinism; hypoglycemia; insulin antibodies.
© 2024 Journal of the ASEAN Federation of Endocrine Societies.
MeSH terms
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Antithyroid Agents / adverse effects
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Antithyroid Agents / therapeutic use
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Autoimmune Diseases* / chemically induced
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Carbimazole / adverse effects
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Carbimazole / therapeutic use
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Glycoside Hydrolase Inhibitors / adverse effects
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Glycoside Hydrolase Inhibitors / therapeutic use
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Graves Disease / drug therapy
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Graves Disease / immunology
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Humans
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Insulin Antibodies / blood
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Insulin*
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Male
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Middle Aged
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Syndrome
Substances
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Antithyroid Agents
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Carbimazole
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Glycoside Hydrolase Inhibitors
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Insulin
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Insulin Antibodies
Grants and funding
Funding Source None