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Síndrome autoimune da insulina
ORPHA:411593CID-10 · E16.1CID-11 · 5A4YDOENÇA RARA

A síndrome autoimune à insulina é uma doença rara que causa um nível baixo de açúcar no sangue (hipoglicemia). Isso acontece porque o corpo começa a produzir um tipo específico de proteína, chamadas anticorpos, para atacar a insulina. A insulina é um hormônio natural responsável por manter o açúcar no sangue em um nível normal. Quando o açúcar no sangue fica muito alto, a insulina ajuda a guardar esse açúcar para ser usado depois. Pessoas com a síndrome autoimune à insulina têm anticorpos que atacam a insulina, fazendo com que ela trabalhe demais e o nível de açúcar no sangue caia excessivamente. A síndrome autoimune à insulina geralmente começa na fase adulta.

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Introdução

O que você precisa saber de cara

📋

A síndrome autoimune à insulina é uma doença rara que causa um nível baixo de açúcar no sangue (hipoglicemia). Isso acontece porque o corpo começa a produzir um tipo específico de proteína, chamadas anticorpos, para atacar a insulina. A insulina é um hormônio natural responsável por manter o açúcar no sangue em um nível normal. Quando o açúcar no sangue fica muito alto, a insulina ajuda a guardar esse açúcar para ser usado depois. Pessoas com a síndrome autoimune à insulina têm anticorpos que atacam a insulina, fazendo com que ela trabalhe demais e o nível de açúcar no sangue caia excessivamente. A síndrome autoimune à insulina geralmente começa na fase adulta.

Publicações científicas
323 artigos
Último publicado: 2026 Jan-Feb

Escala de raridade

CLASSIFICAÇÃO ORPHANET · BRASIL 2024
<1 / 1 000 000
Ultra-rara
<1/50k
Muito rara
1/20k
Rara
1/10k
Pouco freq.
1/5k
Incomum
1/2k
Prevalência
0.017
Europe
Casos conhecidos
404
pacientes catalogados
Início
Adult
+ elderly
🏥
SUS: Sem cobertura SUSScore: 0%
CID-10: E16.1
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Entender a doença

Do básico ao detalhe, leia no seu ritmo

Preparando trilha educativa...

Sinais e sintomas

O que aparece no corpo e com que frequência cada sintoma acontece

Partes do corpo afetadas

📏
Crescimento
7 sintomas
🛡️
Imunológico
2 sintomas

+ 4 sintomas em outras categorias

Características mais comuns

100%prev.
Hipoglicemia hiperinsulinêmica
90%prev.
Positividade de autoanticorpos
Muito frequente (99-80%)
90%prev.
Aumento do nível circulante de anticorpos
Muito frequente (99-80%)
90%prev.
Lúpus eritematoso sistêmico
Muito frequente (99-80%)
90%prev.
Diabetes mellitus resistente à insulina
Muito frequente (99-80%)
90%prev.
Resistência à insulina
Muito frequente (99-80%)
13sintomas
Muito frequente (6)
Frequente (7)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 13 características clínicas mais associadas, ordenadas por frequência.

Hipoglicemia hiperinsulinêmicaHyperinsulinemic hypoglycemia
Muito frequente100%
Positividade de autoanticorposAutoimmune antibody positivity
Muito frequente (99-80%)90%
Aumento do nível circulante de anticorposIncreased circulating antibody level
Muito frequente (99-80%)90%
Lúpus eritematoso sistêmicoSystemic lupus erythematosus
Muito frequente (99-80%)90%
Diabetes mellitus resistente à insulinaInsulin-resistant diabetes mellitus
Muito frequente (99-80%)90%

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa1desde 2026
Total histórico323PubMed
Últimos 10 anos184publicações
Pico202324 papers
Linha do tempo
2026Hoje · 2026🧪 2006Primeiro ensaio clínico📈 2023Ano de pico
Publicações por ano (últimos 10 anos)

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Genética e causas

O que está alterado no DNA e como passa nas famílias

🧬

Nenhum gene associado encontrado

Os dados genéticos desta condição ainda estão sendo catalogados.

Diagnóstico

Os sinais que médicos procuram e os exames que confirmam

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Tratamento e manejo

Remédios, cuidados de apoio e o que precisa acompanhar

Pipeline de tratamentos
Pipeline regulatório — de medicamentos já aprovados a drogas em pesquisa exploratória.
3Fase 31
·Pré-clínico4
Medicamentos catalogadosEnsaios clínicos· 0 medicamentos · 5 ensaios
Carregando informações de tratamento...

Onde tratar no SUS

Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)

🇧🇷 Atendimento SUS — Síndrome autoimune da insulina

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Selecione um estado ou use sua localização para ver resultados.

Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.

Pesquisa ativa

Ensaios clínicos abertos e novidades científicas recentes

Pesquisa e ensaios clínicos

0 ensaios clínicos encontrados.

Distribuição por fase
Ver todos no ClinicalTrials.gov
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Publicações mais relevantes

Timeline de publicações
185 papers (10 anos)
#1

Clinical Characteristics and Risk Factors of Exogenous Insulin Antibody Syndrome in Patients with Diabetes: A Retrospective Cross-Sectional Study.

Diabetes, metabolic syndrome and obesity : targets and therapy2026

Insulin autoimmune syndrome (IAS) is a rare hypoglycemic disorder often confused with insulinoma or insulin overdose. Patients with diabetes on insulin therapy increasingly show insulin autoantibodies (IAAs), presenting symptoms similar to classic IAS, termed exogenous insulin antibody syndrome (EIAS). This study examines EIAS clinical features and risk factors. Patients with diabetes with IAA test results, admitted to our hospital between June 2023 and March 2024 were retrospectively enrolled. Participants were stratified into control and EIAS groups on the basis of IAA status. Clinical characteristics were compared between groups, independent risk factors for EIAS were identified by multivariate logistic regression, and the diagnostic utility of fasting insulin for predicting EIAS was assessed with receiver-operating-characteristic (ROC) curve analysis. Of 120 patients with diabetes and available IAAs results, 37 met criteria for EIAS. Compared with controls, EIAS patients were older, had longer diabetes duration, were more often treated with insulin aspart or premixed human insulin, and received higher daily insulin doses. Paradoxically, EIAS patients had markedly lower levels of fasting blood glucose and HbA1c, while higher fasting and 2-h post-prandial insulin concentrations, as well as HOMA-IR. Multivariate logistic regression analysis showed that elevated fasting insulin levels were independently associated with increased risk of EIAS. For every 1 uU/mL increase in fasting insulin, the risk of EIAS increased by 3% (OR = 1.03, 95% CI: 1.00-1.05). The fasting insulin level demonstrated high overall diagnostic and predictive efficacy for EIAS, with an area under the curve (AUC) of 0.782 (95% CI: 0.691-0.872). The optimal diagnostic cutoff value was 6.975 uU/mL, with a sensitivity of 73.0% and a specificity of 81.9%. EIAS patients were identified with advanced age, prolonged diabetes duration, high insulin dosage, hypoglycemia, and hyperinsulinemia. Fasting insulin level is independently associated with EIAS risk and demonstrates good diagnostic performance.

#2

A Case of Antibody-Mediated Recurrent Hypoglycemia in a Patient With Mixed Connective Tissue Disease.

Cureus2026 Jan

Insulin Autoimmune Syndrome (IAS) is a rare autoimmune condition in which the body produces antibodies to insulin, leading to recurrent episodes of severe hypoglycemia accompanied by elevated serum insulin and insulin antibody levels. Hypoglycemia can mimic neurological conditions such as stroke. Also known as Hirata's disease, IAS occurs in patients with autoimmune conditions or a genetic predisposition. IAS is typically treated with immunosuppressive agents, including steroids and rituximab, and patients often undergo thorough evaluations to rule out more common causes of hypoglycemia. Here, we present a case of a patient with pulmonary arterial hypertension (type 1) and mixed connective tissue disease who experienced persistent and recurrent symptomatic hypoglycemia, with glucose levels as low as 35 mg/dL (1.94 mmol/L). C-peptide, a marker of endogenous insulin production, was within normal limits at 2.9 ng/mL (0.96 nmol/L) while the patient was hypoglycemic (glucose <60 mg/dL (3.3 mmol/L)), indicating inappropriate insulin secretion. Total insulin levels were markedly elevated at 7,000 µU/mL (48,615.00 pmol/L), and free insulin levels were elevated at 24 µU/mL (166.68 pmol/L), which initially raised concern for an insulinoma. However, insulin antibodies were evaluated and found to be significantly elevated at >625 µU/mL (>4,340.63 pmol/L), confirming the diagnosis of Hirata's disease. The patient improved following dietary modifications, initiation of prednisone, and discontinuation of home hydroxychloroquine.

#3

Insulin Autoimmune Syndrome Associated With Hashimoto Thyroiditis and Nodular Thyroid Disease: Clinical Management With Flash Glucose Monitoring and Prednisolone Therapy.

The American journal of case reports2026 Feb 16

BACKGROUND Insulin autoimmune syndrome (IAS) is a rare cause of spontaneous hyperinsulinemic hypoglycemia, characterized by high titers of insulin autoantibodies in the absence of prior insulin exposure. It is most frequently reported in Asian populations and is often associated with other autoimmune conditions. Reports in White patients remain uncommon. CASE REPORT We describe a 63-year-old White woman presenting with recurrent symptomatic hypoglycemia, with plasma glucose as low as 27 mg/dL. Episodes were accompanied by sweating and transient loss of consciousness. Several weeks before the first episode of hypoglycemia, she experienced a single episode of a pruritic rash, which resolved spontaneously. The patient had no prior exposure to insulin therapy or sulfhydryl-containing drugs. Laboratory evaluation revealed markedly elevated insulin concentrations (reaching 19 300 μU/mL), increased C-peptide levels, and insulin autoantibody titer of 99.9%. Abdominal MRI excluded insulinoma. Continuous flash glucose monitoring demonstrated frequent nocturnal and postprandial hypoglycemic episodes. Additional testing confirmed Hashimoto's thyroiditis and a benign thyroid nodule. Management included dietary modification with frequent small meals and carbohydrate restriction. Because these measures were insufficient, prednisolone was initiated, resulting in rapid improvement in glycemic stability. Corticosteroid dose was tapered over 4 months, and the patient remained euglycemic. CONCLUSIONS IAS should be considered in patients with unexplained hyperinsulinemic hypoglycemia to avoid unnecessary invasive evaluation for insulinoma. When dietary measures alone are inadequate, prednisolone therapy is effective. Given the frequent coexistence of IAS with other autoimmune disorders, systematic screening is advisable, and incidental thyroid findings in the setting of autoimmune thyroiditis warrant careful assessment to exclude malignancy.

#4

Diagnostic efficacy of fasting insulin-to-C-peptide ratio in exogenous insulin autoimmune syndrome.

Frontiers in medicine2026

The early-stage diagnosis of exogenous insulin autoimmune syndrome (EIAS) remains a significant clinical challenge for endocrinologists. This study aimed to investigate the diagnostic predictive utility of the fasting insulin-to-C-peptide ratio in EIAS. Diabetic patients with insulin autoantibody (IAA) testing admitted to our hospital between June 2023 and March 2024 were retrospectively enrolled. Participants were stratified into control and EIAS groups based on IAA status. A comparative analysis of EIAS clinical features was performed, with receiver operating characteristic (ROC) curve analysis used to determine the predictive efficacy of the fasting insulin/C-peptide ratio for EIAS. Among 120 enrolled diabetic patients with IAA testing, 37 (30.8%) fulfilled the EIAS diagnostic criteria. Compared with patients in the control group, patients in the EIAS group were significantly older and had a longer duration of diabetes, demonstrated greater use of aspart insulin and recombinant human insulin formulations, and required higher insulin dosages. The EIAS cohort exhibited lower fasting glucose and HbA1c levels, alongside markedly elevated fasting and 2-h postprandial insulin concentrations and increased HOMA-IR values. ROC analysis established the fasting insulin/C-peptide ratio as a moderately accurate predictor of EIAS (AUC 0.802; 95% CI 0.724–0.880), with an optimal diagnostic threshold of 5.215 μU/ng providing 78.4% sensitivity and 77.1% specificity. Advanced age, prolonged diabetes duration, elevated insulin dosage requirements, recurrent hypoglycemia, and hyperinsulinemia constitute characteristic clinical features of EIAS. The fasting insulin/C-peptide ratio demonstrated favorable diagnostic performance, positioning it as a practical screening biomarker for EIAS.

#5

Ovarian stimulation toward oocyte cryopreservation for fertility preservation in a patient with Hirata syndrome: a clinical challenge in assisted reproduction.

Archives of gynecology and obstetrics2026 Feb 06

Insulin autoimmune syndrome (IAS), or Hirata disease, is a rare autoimmune disorder characterized by the presence of autoantibodies targeting insulin, leading to episodes of postprandial hypoglycemia. First identified in Japan, the condition was historically seen primarily in the Asian population, but with global recognition and improved diagnostic tools, its prevalence has expanded. While IAS is often self-limiting and resolves with dietary modifications and discontinuation of triggering medications, its management in the context of assisted reproductive technology (ART) remains understudied. This case report discusses a 28-year-old female diagnosed with IAS who underwent oocyte cryopreservation following a fertility assessment revealing low serum AMH levels. Despite a history of severe hypoglycemia, which was managed with rituximab and resolved within a month, and the presence of elevated insulin and insulin autoantibodies, she successfully completed ovarian stimulation without experiencing hypoglycemic episodes. Close monitoring of glucose levels and insulin autoantibody concentrations was essential for successful oocyte retrieval. This case underscores the importance of careful monitoring and individualized care for patients with IAS undergoing ART as autoimmune flare-ups and hypoglycemia can still occur even when the disease is in remission. A multidisciplinary approach involving reproductive endocrinologists and fertility specialists is critical for safe management of such patients.

Publicações recentes

Ver todas no PubMed

📚 EuropePMC250 artigos no totalmostrando 182

2026

Clinical Characteristics and Risk Factors of Exogenous Insulin Antibody Syndrome in Patients with Diabetes: A Retrospective Cross-Sectional Study.

Diabetes, metabolic syndrome and obesity : targets and therapy
2026

A Case of Antibody-Mediated Recurrent Hypoglycemia in a Patient With Mixed Connective Tissue Disease.

Cureus
2026

Insulin Autoimmune Syndrome Associated With Hashimoto Thyroiditis and Nodular Thyroid Disease: Clinical Management With Flash Glucose Monitoring and Prednisolone Therapy.

The American journal of case reports
2026

Diagnostic efficacy of fasting insulin-to-C-peptide ratio in exogenous insulin autoimmune syndrome.

Frontiers in medicine
2026

Ovarian stimulation toward oocyte cryopreservation for fertility preservation in a patient with Hirata syndrome: a clinical challenge in assisted reproduction.

Archives of gynecology and obstetrics
2026

Three Interesting Cases of Hypoglycemia: A Case Series.

Cureus
2026

Reduction in insulin requirements in second trimester in a woman with type 2 diabetes mellitus associated with anti-insulin antibodies: A case of exogenous insulin autoimmune syndrome?

Obstetric medicine
2026

Unmasking Hirata: a mysterious case of Hypoglycemia triggered by immunologic storm.

Oxford medical case reports
2025

Exogenous insulin autoimmune syndrome: a case report and literature review.

Frontiers in endocrinology
2026

[A case of recurrent hypoglycemic coma episodes associated with primary biliary cholangitis and literature review].

Zhonghua nei ke za zhi
2025

Hirata Syndrome Clinical Presentation and Management: A Single-Centre Experience.

Journal of the ASEAN Federation of Endocrine Societies
2026

Antibodies and distortion of insulin and C-peptide results in patients with hypoglycaemia of unknown origin.

Clinical medicine (London, England)
2025

A case report of insulin autoimmune syndrome induced by drugs for colorectal cancer.

Medicine
2025

Case Report: Exogenous insulin antibody syndrome complicated with chronic renal failure and long-term history of type 2 diabetes: report of two cases.

Frontiers in endocrinology
2025

Non-hypoglycemic insulin autoimmune syndrome complicated with T2DM after using lipoic acid.

Endokrynologia Polska
2025

Drug-induced insulin autoimmune syndrome: a clinico-epidemiological analysis integrating pharmacovigilance data and case series.

Diabetology &amp; metabolic syndrome
2025

Severe Insulin Resistance: Diagnosis and Management.

Current diabetes reviews
2026

Pitfalls of immunoassays for diagnosis of hypoglycemia of undetermined etiology.

Clinical chemistry and laboratory medicine
2025

A case of rapid blood glucose fluctuation in the neonatal period attributed to maternal anti-insulin antibodies.

Pediatrics international : official journal of the Japan Pediatric Society
2025

Drug-Induced Insulin Autoimmune Syndrome: A FAERS Database and Network Pharmacology Analysis.

Endocrine, metabolic &amp; immune disorders drug targets
2025

A rare form of endogenous hypoglycemia uncovered after corticosteroid treatment.

Endocrinology, diabetes &amp; metabolism case reports
2025

Clopidogrel-Induced Insulin Autoimmune Syndrome: Efficacy of Glucocorticoid Therapy and Continuous Glucose Monitoring.

Endocrine, metabolic &amp; immune disorders drug targets
2025

A Case of Hirata Syndrome in Pregnancy Induced by α-Lipoic Acid: Diagnosis and Management.

AACE endocrinology and diabetes
2025

Autoimmune Hypoglycemia in Type 2 Diabetes: A Case of Thiocolchicoside-Induced Steroid-Refractory Insulin Autoimmune Syndrome.

Clinical diabetes : a publication of the American Diabetes Association
2025

Successful treatment with rituximab of a type 2 diabetes patient with antibody-mediated insulin resistance syndrome: A case report.

Medicine
2025

Autoimmune hypoglycemia due to alpha-lipoic acid: Report of two cases.

Journal of postgraduate medicine
2025

Insulin autoimmune syndrome in a patient with vitiligo: a case report and review of literature.

Journal of medical case reports
2026

Insulin Autoimmune Syndrome: Imaging Findings and Uptake Pattern With 68 Ga-Exendin-4 and 68 Ga-DOTATATE PET-CT.

Clinical nuclear medicine
2025

Insulin Autoimmune Syndrome: A Chinese Expert Consensus Statement.

Aging medicine (Milton (N.S.W))
2025

Pitfalls of Hypoglycemia: Uncommon Presentation of Hirata's Disease in a Caucasian Female.

Cureus
2025

Insulin autoimmune syndrome in a 3-year-old boy: the youngest to date in China and a narrow review.

BMC pediatrics
2024

Insulin autoimmune syndrome without hypoglycemia: A different perspective of method interference.

Northern clinics of Istanbul
2024

A Case of Exogenous Insulin Autoimmune Syndrome: A Case Report.

Cureus
2024

Insulin autoimmune syndrome induced by omeprazole in an Asian Male with HLA-DRB1*0406 Subtype: A case report.

Diabetes research and clinical practice
2025

Monoclonal Insulin Autoimmune Syndrome Successfully Treated With Plasma Cell Directed Therapy.

Clinical lymphoma, myeloma &amp; leukemia
2024

Insulin Autoimmune Syndrome (Hirata's Disease) Caused by Methimazole in a 47-Year-Old Man.

Cureus
2024

HLA Alleles Associate with Insulin Autoimmune Syndrome.

Diabetes, metabolic syndrome and obesity : targets and therapy
2024

Clinical and molecular evaluation of insulin autoimmune syndrome in a woman with Graves' disease who subsequently became pregnant: A case report.

Case reports in women's health
2024

Hypoglycemia and Multivitamins.

The Journal of the Association of Physicians of India
2024

Insulin Autoimmune Syndrome: A Case Report Highlighting Diagnostic Pitfalls.

Cureus
2024

Spontaneous Hypoglycaemia due to Insulin Autoimmune Syndrome in Six Cases, Response to Steroid Therapy and Rituximab.

Indian journal of endocrinology and metabolism
2024

When discordant insulin and C-peptide levels lead to a medical diagnosis in a patient with transient hypoglycemia: Varying degrees of interference of insulin-antibody complexes on three insulin immunoassays.

Heliyon
2024

Secondary Hirata Syndrome in a Neonate: Practical Approach and Management.

JCEM case reports
2024

Uncommon triggers of insulin autoimmune syndrome: a case report.

Journal of medical case reports
2024

Insulin Autoimmune Syndrome - An After-Meal Roller Coaster Ride.

Journal of the ASEAN Federation of Endocrine Societies
2024

A clinical case of insulin autoimmune syndrome with monoclonal gammopathy of uncertain significance; complexity in management.

Oxford medical case reports
2024

An Unusual Case of Hypoglycemia in a Non-diabetic Individual due to Hirata Disease.

Cureus
2024

Persistent Insulin Autoimmune Syndrome in a Caucasian Male in the Absence of Triggers.

Cureus
2024

Exogenous insulin autoimmune syndrome: A case report and review of literature.

World journal of clinical cases
2024

Recurrent hypoglycemia induced by clopidogrel: A case report and mini review.

Journal of diabetes investigation
2023

Late-Onset Type 1 Diabetes Mellitus and Unexplained Subcutaneous Lesions.

Cureus
2023

A Case of Insulin Autoimmune Syndrome Accompanied With Systemic Joint Pain: A Case Report.

Cureus
2023

A review on nondiabetic hypoglycemia from various causes: Case series report.

Medicine
2023

Insulin autoimmune syndrome.

Endokrynologia Polska
2023

Insulin autoimmune syndrome: not just one but two different diseases with therapeutic implications.

Endocrinology, diabetes &amp; metabolism case reports
2023

Autoimmune Hypoglycemia With Anti-Insulin Autoantibodies in an Eighty-One-Year-Old Woman Without Apparent Risk Factors.

AACE clinical case reports
2023

[A case of repeated severe hypoglycemia caused by accidental ingestion of sulfonylurea in an elderly patient].

Nihon Ronen Igakkai zasshi. Japanese journal of geriatrics
2023

A Case of Insulin Autoimmune Syndrome in an Indian Male Taking Alpha-Lipoic Acid.

Cureus
2023

Clopidogrel as a Distinctive Cause of Insulin Autoimmune Syndrome: A Systematic Case Review.

Diabetes, metabolic syndrome and obesity : targets and therapy
2023

Complete laboratory diagnosis of Insulin Autoimmune Syndrome.

Practical laboratory medicine
2023

Long-term follow-up after discharge witnesses a slow decline of insulin autoantibodies in patients with insulin autoimmune syndrome complicated with Grave's disease: a report of two cases.

BMC endocrine disorders
2023

Diagnosis and treatment of anti-insulin antibody-mediated labile glycaemia in insulin-treated diabetes.

Diabetic medicine : a journal of the British Diabetic Association
2023

An Uncommon Case of Recurrent Hypoglycemic Episodes in a Healthy Non-diabetic Male: Insulin Autoimmune Syndrome.

Cureus
2023

Long COVID-19 and Insulin Autoimmune Syndrome: A Case Report.

Clinical therapeutics
2023

Long-term follow-up of methimazole-associated insulin autoimmune syndrome: a rare case report.

The Journal of international medical research
2023

A False Insulin Level in a Patient with Insulin Autoimmune Syndrome: a Case Report.

Clinical laboratory
2023

Hypoglycemic Coma Caused by Methimazole-Induced Insulin Autoimmune Syndrome, a Case Study.

Diabetes, metabolic syndrome and obesity : targets and therapy
2023

Exogenous insulin antibody syndrome in a patient with diabetes secondary to total pancreatectomy.

Diabetology international
2023

Hypoglycemia as a potential risk for patients taking clopidogrel: A systematic review and meta-analysis.

Frontiers in endocrinology
2023

Insulin Autoimmune Syndrome: A Systematic Review.

International journal of endocrinology
2022

Alpha-Lipoic Acid and Glucose Metabolism: A Comprehensive Update on Biochemical and Therapeutic Features.

Nutrients
2022

Insulin autoimmune syndrome caused by esomeprazole in a Chinese patient.

Endokrynologia Polska
2023

Endogenous hyperinsulinemic hypoglycemia: case series and literature review.

Endocrine
2023

Novel management of insulin autoimmune syndrome with methylprednisolone and flash glucose monitoring.

Annales d'endocrinologie
2023

Hypoglycemia Caused by Exogenous Insulin Antibody Syndrome: A Large Single-Center Case Series From China.

The Journal of clinical endocrinology and metabolism
2022

Hirata's disease (insulin autoimmune syndrome) following envenomation by a common krait.

Toxicon : official journal of the International Society on Toxinology
2022

Clopidogrel-associated hypoglycaemia and alternative antiplatelet therapy: a real-world, pharmacovigilance study.

European heart journal. Cardiovascular pharmacotherapy
2022

Nursing a patient with latent autoimmune diabetes in adults with insulin-related lipodystrophy, allergy, and exogenous insulin autoimmune syndrome: A case report.

World journal of clinical cases
2022

Frequency of Adrenal Insufficiency in Patients With Hypoglycemia in an Emergency Department: A Cross-sectional Study.

Journal of the Endocrine Society
2022

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

Frontiers in immunology
2022

Recurrent hypoglycemic coma and diabetic ketoacidosis caused by insulin antibody. A rare case of type 1 diabetes mellitus.

Revista medica de Chile
2022

Case report: hypoglycemia secondary to methimazole-induced insulin autoimmune syndrome in young Taiwanese woman with Graves' disease.

Medicine
2022

Polyethylene Glycol Precipitation to Avoid Misdiagnosis of Insulin Autoimmune Syndrome: A Case Report and Testing Pathway in Medical Laboratories.

Annals of laboratory medicine
2022

Production of insulin antibody associated with relapsed hodgkin's lymphoma.

Diabetology international
2022

Glycated albumin (GA) and the GA/HbA1c ratio are higher in diabetic patients positive for insulin antibodies with high binding capacity and low affinity.

Diabetology international
2021

INSULIN AUTOIMMUNE SYNDROME IN A YOUNG CAUCASIAN WOMAN.

Acta endocrinologica (Bucharest, Romania : 2005)
2022

Comparison of patient characteristics between East Asian and non-East Asian patients with insulin autoimmune syndrome.

Clinical endocrinology
2022

[Insulin autoimmune syndrome : A rare, but important differential diagnosis of hypoglycemia].

Der Internist
2021

Continuous glucose monitoring and Rituximab treatment in insulin autoimmune syndrome.

Diabetes &amp; metabolic syndrome
2022

Recurrent Hypoglycemia Due to a High Titer of Insulin Antibody in Response to Exogenous Insulin Administration in Two Cases of Type 1 Diabetes.

Internal medicine (Tokyo, Japan)
2021

Steroid-Refractory Insulin Autoimmune Syndrome Treated With Rituximab and Continuous Glucose Monitoring.

Cureus
2021

Insulinoma With Concomitant Insulin Antibodies.

AACE clinical case reports
2021

A novel approach to a rare case of non-islet cell hypoglycaemia.

Endocrinology, diabetes &amp; metabolism case reports
2021

Scientific opinion on the relationship between intake of alpha-lipoic acid (thioctic acid) and the risk of insulin autoimmune syndrome.

EFSA journal. European Food Safety Authority
2021

Increased C-Peptide Immunoreactivity in Insulin Autoimmune Syndrome (Hirata Disease) Due to High Molecular Weight Proinsulin.

Clinical chemistry
2021

Insulin Autoimmune Syndrome as Part of Pre-Clinical LADA.

Diabetes, metabolic syndrome and obesity : targets and therapy
2021

Hirata's Disease: Rare Cause of Hypoglycaemia in Caucasian Male.

Acta medica (Hradec Kralove)
2021

Analysis of the clinical characteristics of insulin autoimmune syndrome induced by exogenous insulin in diabetic patients.

Diabetology &amp; metabolic syndrome
2021

Analysis of the clinical characteristics of insulin autoimmune syndrome induced by alpha-lipoic acid.

Journal of clinical pharmacy and therapeutics
2022

Uncooked cornstarch for the prevention of hypoglycemic events.

Critical reviews in food science and nutrition
2021

[Insulin autoimmune syndrome caused by proton pump inhibitors: a case report].

Zhonghua nei ke za zhi
2021

[One case report of insulin autoimmune syndrome induced by clopidogrel].

Zhonghua nei ke za zhi
2021

A Novel Type of Extreme Insulin Resistance: Nonhypoglycemic Insulin Autoimmune Syndrome.

The Journal of clinical endocrinology and metabolism
2020

Long-term follow-up of insulin autoimmune syndrome in an elderly patient.

Clinical case reports
2020

[Hypoglycemic syndrome in patients with monoclonal gammopathy].

Problemy endokrinologii
2020

Clinical and Laboratory Aspects of Insulin Autoantibody-Mediated Glycaemic Dysregulation and Hyperinsulinaemic Hypoglycaemia: Insulin Autoimmune Syndrome and Exogenous Insulin Antibody Syndrome.

The Clinical biochemist. Reviews
2020

Insulin autoimmune syndrome: a rare cause of spontaneous hypoglycaemia in non-diabetic individuals.

BMJ case reports
2021

A combination of plasma exchange and steroids in the treatment of a-lipoic acid-induced insulin autoimmune syndrome.

Endokrynologia Polska
2020

Insulin autoimmune syndrome: A rare cause of hypoglycemia.

Journal of family medicine and primary care
2021

Insulin autoimmune syndrome misdiagnosed as an insulinoma in a woman presenting with a pancreatic cystic lesion and taking alpha lipoic acid: a lesson to be learned.

Hormones (Athens, Greece)
2020

[Clinical Characteristics of Lipoic Acid-mediated Insulin Autoimmune Syndrome in Two Patients with Type 2 Diabetes Mellitus].

Zhongguo yi xue ke xue yuan xue bao. Acta Academiae Medicinae Sinicae
2021

Analysis of the clinical characteristics of insulin autoimmune syndrome induced by methimazole.

Journal of clinical pharmacy and therapeutics
2020

Insulin Autoimmune Syndrome - A Case Series.

European endocrinology
2020

[Insulin hypersensitivity with lipoatrophy and exogenous insulin autoimmune syndrome:a case report].

Zhonghua nei ke za zhi
2020

Methimazole-induced insulin autoimmune syndrome in Graves' disease with hypokalemia: A case report and literature review.

Experimental and therapeutic medicine
2021

Assessment of adverse reactions to α-lipoic acid containing dietary supplements through spontaneous reporting systems.

Clinical nutrition (Edinburgh, Scotland)
2020

[Insulin autoimmune syndrome induced by alpha-lipoic acid in two diabetic patients and HLA-DRB1 alleles analysis in first-degree family members].

Zhonghua nei ke za zhi
2020

Insulin Autoimmune Syndrome (Hirata Disease): A Comprehensive Review Fifty Years After Its First Description.

Diabetes, metabolic syndrome and obesity : targets and therapy
2020

Insulin Autoimmune Syndrome: A Case of Clopidogrel-induced Autoimmune Hypoglycemia.

The Journal of clinical endocrinology and metabolism
2020

Management of Insulin Autoimmune Hypoglycaemia: Single-centre experience from Western India with systematic review of world literature.

Clinical endocrinology
2019

GLUCOSE CHANGES IN A PATIENT WITH INSULIN AUTOIMMUNE SYNDROME DEMONSTRATED BY CONTINUOUS GLUCOSE MONITORING.

AACE clinical case reports
2019

Insulin Autoimmune Syndrome in a 25-Year-Old, Previously Healthy Kuwaiti Man.

Case reports in endocrinology
2020

Insulin autoimmune syndrome - time to remember.

Endokrynologia Polska
2019

Insulin autoimmune syndrome induced by exogenous insulin injection: a four-case series.

BMC endocrine disorders
2020

Insulin Autoimmune Syndrome After Exposure to Clopidogrel: A Case Report.

Endocrine, metabolic &amp; immune disorders drug targets
2020

Nationwide survey of endogenous hyperinsulinemic hypoglycemia in Japan (2017-2018): Congenital hyperinsulinism, insulinoma, non-insulinoma pancreatogenous hypoglycemia syndrome and insulin autoimmune syndrome (Hirata's disease).

Journal of diabetes investigation
2020

HLA DRB1*0415: a new possible genetic susceptibility factor for Hirata's disease.

Endocrine
2019

Comparison of Two Autoimmune Dysglycemia Syndromes: Insulin Autoimmune Syndrome (IAS) and Type B Insulin Resistance Syndrome (B-IRS).

Hormone and metabolic research = Hormon- und Stoffwechselforschung = Hormones et metabolisme
2021

Insulin autoimmune syndrome in patients with type 2 diabetes: A report of two cases.

Diabetes &amp; metabolism
2018

Autoimmune Hypoglycemia Relapse on Glucocorticoids, Effectively Treated with Azathioprine.

The Journal of the Association of Physicians of India
2019

Recurrent hypoglycemia, a rare case of insulin autoimmune syndrome in a young African American male.

Diabetes &amp; metabolic syndrome
2019

Insulin autoimmune syndrome possibly caused by coenzyme Q10.

Journal of rural medicine : JRM
2019

Rituximab for treatment of refractory insulin autoimmune syndrome associated with non-Hodgkin B-cell lymphoma.

Clinical endocrinology
2019

Insulin Autoimmune Syndrome Diagnosis and Therapy in a Single Chinese Center.

Clinical therapeutics
2019

Pitfalls in the diagnosis of insulin autoimmune syndrome (Hirata's disease) in a hypoglycemic child: a case report and review of the literature.

Journal of pediatric endocrinology &amp; metabolism : JPEM
2019

A novel treatment of hyperinsulinemic hypoglycemia induced by insulin antibodies with alkali administration: a case report.

Journal of medical case reports
2019

Insulin autoimmune syndrome as a cause of recurrent hypoglycemia in a carbimazole user: a case report from Nepal.

International medical case reports journal
2018

Insulin autoimmune syndrome in an Argentine woman taking α-lipoic acid: A case report and review of the literature.

SAGE open medical case reports
2019

Enhancement of postprandial endogenous insulin secretion rather than exogenous insulin injection ameliorated insulin antibody-induced unstable diabetes: a case report.

BMC endocrine disorders
2018

Insulin autoimmune syndrome: Three case reports.

Medicine
2018

Autoimmune hypoglycaemia caused by alpha-lipoic acid: a rare condition in Caucasian patients.

Endocrinology, diabetes &amp; metabolism case reports
2018

Spontaneously remitting insulin autoimmune syndrome in a patient taking alpha-lipoic acid.

Endocrinology, diabetes &amp; metabolism case reports
2018

[Current Status of Health Foods Including Their Interactions with Drugs and Adverse Events].

Yakugaku zasshi : Journal of the Pharmaceutical Society of Japan
2018

Insulin autoimmune syndrome in an occidental woman: a case report and literature review.

Archives of endocrinology and metabolism
2018

Insulin autoimmune syndrome: from diagnosis to clinical management.

Annals of translational medicine
2019

Potential cause-effect relationship between insulin autoimmune syndrome and alpha lipoic acid: Two case reports.

Nutrition (Burbank, Los Angeles County, Calif.)
2018

Assessment and Management of Anti-Insulin Autoantibodies in Varying Presentations of Insulin Autoimmune Syndrome.

The Journal of clinical endocrinology and metabolism
2018

A case report of insulin autoimmune syndrome in a Central European individual.

Clinical chemistry and laboratory medicine
2018

Insulin Autoimmune Syndrome: a rare case of hypoglycaemia resolving with immunosuppression.

The Ulster medical journal
2017

Insulin autoimmune syndrome in a pregnant female: A rare case report.

Medicine
2018

Insulin autoimmune syndrome in a pregnant female: A rare case report: Erratum.

Medicine
2017

Rare Cause of Recurrent Hypoglycemia: Insulin Autoimmune Syndrome.

Case reports in endocrinology
2018

Immunoadsorption Followed by Rituximab as a Definitive Treatment for Insulin Autoimmune Syndrome (Hirata Syndrome): A Case Report.

Diabetes care
2017

Clopidogrel-Induced Insulin Autoimmune Syndrome: A Newly Recognized Cause of Hypoglycemia in a Patient Without Diabetes.

Journal of the Endocrine Society
2017

"Riding High on Low Fuel" - Our Experience with Endogenous Hyperinsulinemic Hypoglycemia.

Indian journal of endocrinology and metabolism
2018

Insulin autoimmune syndrome (Hirata's disease) in an Italian patient: a case report and review of the literature.

Clinical chemistry and laboratory medicine
2017

Resolution of Hypoglycemia and Cardiovascular Dysfunction After Rituximab Treatment of Insulin Autoimmune Syndrome.

Diabetes care
2018

Therapeutic plasma exchange normalizes insulin-mediated response in a child with type 1 diabetes and insulin autoimmune syndrome.

Pediatric diabetes
2016

Gliclazide-Induced Insulin Autoimmune Syndrome: A Rare Case Report and Review on Literature.

Endocrine, metabolic &amp; immune disorders drug targets
2016

Hyperinsulinemic hypoglycemia associated with insulin antibodies caused by exogenous insulin analog.

Endocrinology, diabetes &amp; metabolism case reports
2016

Insulin-induced autoimmune syndrome: A case report.

Experimental and therapeutic medicine
2016

Insulin Autoimmune Syndrome: a rare cause of postprandial hypoglycemia.

Endocrinology, diabetes &amp; metabolism case reports
2017

High glycated albumin (GA) levels and the GA/HbA1c ratio in patients with insulin autoimmune syndrome.

Diabetology international
2016

Human serum albumin: Possible cause of insulin autoimmune syndrome.

Journal of diabetes investigation
2017

Diagnosis of insulin autoimmune syndrome using polyethylene glycol precipitation and gel filtration chromatography with ex vivo insulin exchange.

Clinical endocrinology
2016

Methimazole-induced insulin autoimmune syndrome.

Therapeutic advances in endocrinology and metabolism
2016

Insulin Autoimmune Syndrome Accompanied by Multiple Myeloma.

Internal medicine (Tokyo, Japan)
2016

High fasting serum insulin level due to autoantibody interference in insulin immunoassay discloses autoimmune insulin syndrome: a case report.

Annales de biologie clinique
2016

Other Antibodies Resulting in Diabetes Mellitus: Type B Insulin Resistance and Insulin Autoimmune Syndrome.

AACE clinical case reports
2016

Low-carbohydrate diet combined with SGLT2 inhibitor for refractory hyperglycemia caused by insulin antibodies.

Diabetes research and clinical practice
2016

[Insulin autoimmune syndrome].

Nihon rinsho. Japanese journal of clinical medicine
2016

Two Sisters with Graves' Disease and Similar Clinical Features who Tested Positive for Anti-insulin Antibodies after Thiamazole Treatment.

Internal medicine (Tokyo, Japan)
2016

The insulin autoimmune syndrome (IAS) as a cause of hypoglycaemia: an update on the pathophysiology, biochemical investigations and diagnosis.

Clinical chemistry and laboratory medicine
2016

Novel Management of Insulin Autoimmune Syndrome with Rituximab and Continuous Glucose Monitoring.

The Journal of clinical endocrinology and metabolism
2016

Spontaneous hypoglycemia: diagnostic evaluation and management.

Endocrine
2016

Insulin autoimmune syndrome during the administration of clopidogrel.

Journal of diabetes
2015

Rare association of insulin autoimmune syndrome with ankylosing spondylitis.

Endocrinology, diabetes &amp; metabolism case reports
2015

[Insulin autoimmune syndrome: Report of two cases].

Revista medica de Chile
2015

Insulin Autoimmune Syndrome: 73 Cases of Clinical Analysis.

Chinese medical journal
2015

Unusual Manifestations of Essential Monoclonal Gammopathy. II. Simulation of the Insulin Autoimmune Syndrome.

Rambam Maimonides medical journal
2015

Clinical features and causes of endogenous hyperinsulinemic hypoglycemia in Korea.

Diabetes &amp; metabolism journal
2015

A case of hypothalamic hypopituitarism accompanied by recurrent severe hypoglycemia.

SpringerPlus
Ver todos os 250 no EuropePMC

Associações

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Comunidades

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Doenças relacionadas

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Referências e fontes

Bases de dados externas citadas neste artigo

Publicações científicas

Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.

  1. Clinical Characteristics and Risk Factors of Exogenous Insulin Antibody Syndrome in Patients with Diabetes: A Retrospective Cross-Sectional Study.
    Diabetes, metabolic syndrome and obesity : targets and therapy· 2026· PMID 41821608mais citado
  2. A Case of Antibody-Mediated Recurrent Hypoglycemia in a Patient With Mixed Connective Tissue Disease.
    Cureus· 2026· PMID 41755959mais citado
  3. Insulin Autoimmune Syndrome Associated With Hashimoto Thyroiditis and Nodular Thyroid Disease: Clinical Management With Flash Glucose Monitoring and Prednisolone Therapy.
    The American journal of case reports· 2026· PMID 41697927mais citado
  4. Diagnostic efficacy of fasting insulin-to-C-peptide ratio in exogenous insulin autoimmune syndrome.
    Frontiers in medicine· 2026· PMID 41695153mais citado
  5. Ovarian stimulation toward oocyte cryopreservation for fertility preservation in a patient with Hirata syndrome: a clinical challenge in assisted reproduction.
    Archives of gynecology and obstetrics· 2026· PMID 41652049mais citado
  6. Discordant Cortisol Responses to Spontaneous Hypoglycaemia Versus Adrenocorticotropic Hormone Stimulation: A Diagnostic Challenge for Hypothalamic-Pituitary-Adrenal Axis Assessment.
    Indian J Endocrinol Metab· 2026· PMID 41918598recente

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:411593(Orphanet)
  2. MONDO:0018465(MONDO)
  3. GARD:10808(GARD (NIH))
  4. Busca completa no PubMed(PubMed)
  5. Q55009198(Wikidata)

Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.

Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar

Síndrome autoimune da insulina
Compêndio · Raras BR

Síndrome autoimune da insulina

ORPHA:411593 · MONDO:0018465
Prevalência
<1 / 1 000 000
Casos
404 casos conhecidos
Herança
Not applicable
CID-10
E16.1 · Outra hipoglicemia
CID-11
Início
Adult, Elderly
Prevalência
0.017 (Europe)
MedGen
UMLS
C0854359
EuropePMC
Wikidata
Papers 10a
DiscussaoAtiva

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