Hypoglycaemia and fits in a thyrotoxic man

No Thumbnail Available

Date

2009

Journal Title

Journal ISSN

Volume Title

Publisher

BMJ Publishing Group

Abstract

We report prolonged severe hypoglycaemia with raised serum insulin levels in a Sri Lankan man with recently diagnosed Graves disease being treated with carbimazole. We diagnosed insulin autoimmune syndrome on the basis of raised anti-insulin antibody levels, and this diagnosis was supported by the subsequent course of the illness. The patient recovered completely after carbimazole was replaced with propylthiouracil and he was treated with dextrose infusions, frequent high-carbohydrate meals and a course of prednisolone.

Description

Indexed in Scopus; In PUBMED; Not in MEDLINE

Keywords

Citation

BMJ Case Reports. 2009; 2009.pii bcr07.2008.0448

Endorsement

Review

Supplemented By

Referenced By