Case Report: Recurrent Autoimmune Hypoglycemia Induced by Non-Hypoglycemic Medications

We present a case of recurrent autoimmune hypoglycemia induced by non-hypoglycemic agents. We review reported cases of autoimmune hypoglycemia related to non-hypoglycemic agents, and discuss the effects of different detection methods for insulin autoantibodies on the results obtained. We aim to prov...

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Main Authors: Qiuping Zhu, Hanxin Zhao, Wei Qiu, Fang Wu, Chungen Qian, Yonghong Yang, Ye Kang, Fenping Zheng, Jiaqiang Zhou
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-07-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2022.855350/full
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author Qiuping Zhu
Qiuping Zhu
Hanxin Zhao
Wei Qiu
Fang Wu
Chungen Qian
Chungen Qian
Yonghong Yang
Ye Kang
Fenping Zheng
Jiaqiang Zhou
author_facet Qiuping Zhu
Qiuping Zhu
Hanxin Zhao
Wei Qiu
Fang Wu
Chungen Qian
Chungen Qian
Yonghong Yang
Ye Kang
Fenping Zheng
Jiaqiang Zhou
author_sort Qiuping Zhu
collection DOAJ
description We present a case of recurrent autoimmune hypoglycemia induced by non-hypoglycemic agents. We review reported cases of autoimmune hypoglycemia related to non-hypoglycemic agents, and discuss the effects of different detection methods for insulin autoantibodies on the results obtained. We aim to provide information for clinicians and a warning for medication usage. Considering the increasing number of clopidogrel-induced AIH cases and the hypoglycemia-induced increase in the risk of cardiovascular events, we recommend that cardiovascular disease patients being treated with clopidogrel be informed of this rare side effect and that clinicians be vigilant for the possibility of autoimmune hypoglycemia in this patient population.
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spelling doaj.art-8af6ce4c6d754afe9cd8a58708a68c092022-12-22T02:30:47ZengFrontiers Media S.A.Frontiers in Immunology1664-32242022-07-011310.3389/fimmu.2022.855350855350Case Report: Recurrent Autoimmune Hypoglycemia Induced by Non-Hypoglycemic MedicationsQiuping Zhu0Qiuping Zhu1Hanxin Zhao2Wei Qiu3Fang Wu4Chungen Qian5Chungen Qian6Yonghong Yang7Ye Kang8Fenping Zheng9Jiaqiang Zhou10Department of Endocrinology and Metabolism, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaDepartment of Endocrinology, Haining People’s Hospital, Haining, ChinaDepartment of Endocrinology and Metabolism, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaDepartment of Endocrinology, Huzhou Central Hospital, Huzhou, ChinaDepartment of Endocrinology and Metabolism, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaCollege of Life Science and Technology, Huazhong University of Science and Technology, Wuhan, ChinaReagent R&D Center, Shenzhen YHLO Biotech Co., Ltd, Shenzhen, ChinaReagent R&D Center, Shenzhen YHLO Biotech Co., Ltd, Shenzhen, ChinaReagent R&D Center, Shenzhen YHLO Biotech Co., Ltd, Shenzhen, ChinaDepartment of Endocrinology and Metabolism, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaDepartment of Endocrinology and Metabolism, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaWe present a case of recurrent autoimmune hypoglycemia induced by non-hypoglycemic agents. We review reported cases of autoimmune hypoglycemia related to non-hypoglycemic agents, and discuss the effects of different detection methods for insulin autoantibodies on the results obtained. We aim to provide information for clinicians and a warning for medication usage. Considering the increasing number of clopidogrel-induced AIH cases and the hypoglycemia-induced increase in the risk of cardiovascular events, we recommend that cardiovascular disease patients being treated with clopidogrel be informed of this rare side effect and that clinicians be vigilant for the possibility of autoimmune hypoglycemia in this patient population.https://www.frontiersin.org/articles/10.3389/fimmu.2022.855350/fullhypoglycemiainsulin autoimmune syndromeinsulin autoantibodiesclopidogrelcase report
spellingShingle Qiuping Zhu
Qiuping Zhu
Hanxin Zhao
Wei Qiu
Fang Wu
Chungen Qian
Chungen Qian
Yonghong Yang
Ye Kang
Fenping Zheng
Jiaqiang Zhou
Case Report: Recurrent Autoimmune Hypoglycemia Induced by Non-Hypoglycemic Medications
Frontiers in Immunology
hypoglycemia
insulin autoimmune syndrome
insulin autoantibodies
clopidogrel
case report
title Case Report: Recurrent Autoimmune Hypoglycemia Induced by Non-Hypoglycemic Medications
title_full Case Report: Recurrent Autoimmune Hypoglycemia Induced by Non-Hypoglycemic Medications
title_fullStr Case Report: Recurrent Autoimmune Hypoglycemia Induced by Non-Hypoglycemic Medications
title_full_unstemmed Case Report: Recurrent Autoimmune Hypoglycemia Induced by Non-Hypoglycemic Medications
title_short Case Report: Recurrent Autoimmune Hypoglycemia Induced by Non-Hypoglycemic Medications
title_sort case report recurrent autoimmune hypoglycemia induced by non hypoglycemic medications
topic hypoglycemia
insulin autoimmune syndrome
insulin autoantibodies
clopidogrel
case report
url https://www.frontiersin.org/articles/10.3389/fimmu.2022.855350/full
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