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CASE REPORT
Year : 2017  |  Volume : 6  |  Issue : 4  |  Page : 245-248

A rare case of autoimmune hypoglycaemia


1 Department of Diabetes and Endocrinology, Fortis Hospital, Bengaluru, India
2 Department of Endocrinology and Metabolic Bone Disease, Sakra World Hospital, Bengaluru, India

Correspondence Address:
Srinivasa P Munigoti
Consultant Endocrinologist, Department of Diabetes and Endocrinology, Fortis Hospital, Bengaluru
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.15380/2277-5706.JCSR.17.11.002

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We report the rare case of a female who presented with episodes of spontaneous hypoglycaemia. Although she had high baseline insulin and C-peptide levels during the time she was symptomatic, she tested negative on hypoglycaemia provocation test with ‘72 hour extended fast’. Patient was later found to have very high titres of insulin antibodies suggestive of insulin antibody syndrome (IAS). She developed this autoimmune antibody response with no known triggering factor. Her symptoms subsided completely after a short course of oral corticosteroid treatment.


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