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KMID : 0356620110260040360
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Journal of Korean Society of Endocrinology
2011 Volume.26 No. 4 p.360 ~ p.363
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A Case of the Type B Insulin Resistance Syndrome with Chronic Hepatitis B
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Choi Hyun-Seok
Choi Byung-Ho
Jeong Seok-Hoo
Choi Shung-Han
Shin Dong-Su
Kim Sei-Hyun
Eom Young-Sil
Lee Si-Hoon
Kim Yeun-Sun
Park Ie-Byung
Lee Ki-Young
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Abstract
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Type B insulin resistance syndrome is rare autoimmune disease that is characterized by various abnormalities of glycemic homeostasis, from hyperglycemia caused by extreme insulin resistance to fasting hypoglycemia. It can combine with other autoimmune diseases, most commonly systemic lupus erythematosus. It usually occurs in women and accompanies acanthosis nigricans, hyperandrogenism, and, in many cases, ovary dysfunction. The diagnosis of type B insulin resistance syndrome is based largely on the presence of insulin receptor autoantibodies and hyperglycemia, or hypoglycemia and hyperinsulinemia. In some cases, patients with the type B insulin resistance have been successfully treated with immunosuppressive therapy and plasmapheresis. We experienced type B insulin resistance syndrome in a patient with chronic hepatitis B and used only plasmapheresis for treatment. The immunosuppressive therapy was omitted due to the state of activation of chronic hepatitis B. We present this case with a review of relevant literature.
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KEYWORD
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Insulin receptor antibody, Plasmapheresis, Type B insulin resistance syndrome
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