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首页> 外文期刊>Nutrition >Potential cause-effect relationship between insulin autoimmune syndrome and alpha lipoic acid: Two case reports
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Potential cause-effect relationship between insulin autoimmune syndrome and alpha lipoic acid: Two case reports

机译:胰岛素自身免疫综合征与α硫辛酸之间的潜在造成效应关系:两种报告

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Objectives: Insulin autoimmune syndrome (IAS) or Hirata disease is a rare cause of autoimmune hypoglycemia with apparent high insulin levels and anti-insulin autoantibodies and was first described by Hirata in Japan in 1970. IAS cases are usually related to exposure to sulfhydryl-containing drugs, which stimulate the production of insulin autoantibodies. Among sulfhydryl-containing compounds, alpha lipoic acid (ALA) has recently emerged as a cause of IAS. After the first observations of ALA-induced IAS were reported in Japan in 2006, an increasing number of cases related to ALA administration have been described. An Italian group recently reported on six cases of IAS of which one was associated with HLA-DRB1*04:06 and the remaining five with HLA-DRB1*04:03. This suggests that the latter is potentially involved in the genetic susceptibility of people of European descent to IAS.
机译:目的:胰岛素自身免疫综合征(IAS)或HiRATA疾病是一种罕见的自身免疫性低血糖症,具有表观高胰岛素水平和抗胰岛素自身抗体的原因,是1970年日本中日本的首次描述。IAS病例通常与含巯基的暴露有关 药物,刺激胰岛素自身抗体的生产。 在含巯基化合物中,最近α硫辛酸(ALA)作为IAS的原因。 在2006年在日本报告ALA诱导的IAS的第一次观察后,已经描述了与ALA给药相关的患者越来越多的病例。 一组意大利集团最近报告了六种IAS的IAS,其中一个与HLA-DRB1 * 04:06和HLA-DRB1 * 04:03的剩余五个相关联。 这表明后者可能涉及欧洲血统人群到IAS的遗传易感性。

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