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2.1
Insulin-Resistance Syndrome Type B

Presentation

During monitoring she presented lupus activation with renal impairment handled with immunomodulatory therapy, reset of an azathioprine and prednisolone, obtaining an adequate response. [postertalks.com]

Patients typically present with hyperglycemia but also may present with hypoglycemia. We report a rare case of a 36-year-old man with generalized AN and type B insulin resistance syndrome with hypoglycemia. [mdedge.com]

Case presentation A 48-year-old Chinese woman presented with polydipsia and polyuria in January 2011. [bmcendocrdisord.biomedcentral.com]

Lower levels of HbA1c were observed in cases that presented with hypoglycemia. [scielo.br]

Diabetes tends to develop in the second decade (although some children have presented with diabetes within their first year). [diapedia.org]

Entire Body System

  • Gangrene

    […] dehydroepiandrosterone (DHEA)デヒドロエピアンドロステロン dexamethason suppression testデキサメタゾン抑制試験 diabetes糖尿病 diabetes mellitus (DM)[真性]糖尿病 diabetic bulla (pl. bullae)糖尿病[性]水庖症 diabetic coma 糖尿病[性]昏睡 diabetic complication糖尿病[性]合併症 diabetic diet糖尿病食 diabetic foot糖尿病[性]足病変 diabetic gangrene [tokyo-med.ac.jp]

    Diabetes myonecrosis may develop before or at the time of diagnosis of diabetes; generally it is a type of gangrene caused by Clostridium bacteria. [omicsonline.org]

Gastrointestinal

  • Polydipsia

    A history of diabetic symptoms such as polydipsia, polyuria and weight loss may sometimes, but not always, be present. [aafp.org]

    It is characterized by a classic triad of symptoms namely, polydipsia, polyuria and polyphagia. [diabeteslibrary.org]

    […] polyuria多尿 posterior pituitary(neurohypophysis)下垂体後葉 postprandial blood glucose食後血糖[値] postprandial hyperglycemia食後高血糖、食後過血糖 postprandial hypoglycemia食後低血糖 postprandial lipemia食後高脂血症 post-treatment neuropathy治療後神経障害 primary prevention一次予防 psychogenic polydipsia [tokyo-med.ac.jp]

    Case presentation A 48-year-old Chinese woman presented with polydipsia and polyuria in January 2011. [bmcendocrdisord.biomedcentral.com]

    At the time of diagnosis, the patient presented with polyuria, polydipsia and a random glucose of 20 mmol/l. She tested positive for anti-gliadin antibodies and islet cell antibodies. [edmcasereports.com]

  • Increased Appetite

    Weight loss despite increased appetite. Women may experience high testosterone, irregular or absent periods, or increased hair growth. [endocrine.org]

    Obesity itself contributes to IR, so therapy with metformin is beneficial whereas therapy with Sulfonylurea (SU) being an insulin secretogogue increases appetite and thus tends to increase body weight. [diabetesindia.com]

    Congenital generalised lipodystrophy (CGL), also known as Berardinelli-Seip congenital lipodystrophy (BSCL) is an autosomal recessive condition characterized by a generalized absence of adipose tissue from birth, increased appetite due to leptin deficiency [diapedia.org]

  • Gastropathy

    […] dexamethason suppression testデキサメタゾン抑制試験 diabetes糖尿病 diabetes mellitus (DM)[真性]糖尿病 diabetic bulla (pl. bullae)糖尿病[性]水庖症 diabetic coma 糖尿病[性]昏睡 diabetic complication糖尿病[性]合併症 diabetic diet糖尿病食 diabetic foot糖尿病[性]足病変 diabetic gangrene糖尿病[性]壊疽 diabetic gastropathy [tokyo-med.ac.jp]

Musculoskeletal

  • Muscle Cramp

    Musculoskeletal changes: some patients report muscle cramps unrelated to exercise. [dermnetnz.org]

    Additional, but not invariable, features of the syndrome include short stature, acral hypertrophy, accelerated linear growth, muscle cramps, and retinitis pigmentosa ( 1, 3 – 5 ). [academic.oup.com]

Skin

  • Sweating

    People who experience symptoms of hypoglycemia typically have their insulin levels tested; hypoglycemia symptoms may include sweating, palpitations, blurred vision, dizziness, fainting, confusion and hunger. [draxe.com]

    Signs and symptoms of Diabetic Neuropathy include, decrease or no sweating, numbness, or tingling, and some sort of burning sensation, weakness and loss of reflexes. [omicsonline.org]

Psychiatrical

  • Fear

    […] modified September 4, 2018 I recently gave a talk at a meeting with colleagues, most of them cardiologists and endocrinologists, where I, among other things, discussed the current status of diet-heart hypothesis and the possible relationship between our fear [docsopinion.com]

Neurologic

  • Seizure

    These low blood sugars may lead to seizures, coma, or even death. The goal of treatment for type B insulin resistance is to get rid of the antibody that stops insulin from working properly. [endocrine.org]

    I was having seizures due to low blood sugar levels followed by episodes of ketosis with high blood sugar levels. [edmcasereports.com]

  • Asthenia

    She was admitted to Fort de France Hospital in Martinique in May 1996 with a syndrome associating fever, polyarthralgia, anorexia and asthenia. Clinical and biological data suggestive of polymyositis were confirmed by muscle biopsy. [em-consulte.com]

Urogenital

  • Polyuria

    A history of diabetic symptoms such as polydipsia, polyuria and weight loss may sometimes, but not always, be present. [aafp.org]

    It is characterized by a classic triad of symptoms namely, polydipsia, polyuria and polyphagia. [diabeteslibrary.org]

    急峻高血糖 p pancreas 膵臓 pancreatic duct 膵管 paracrineパラクリン、パラクライン parathyroid hormone (PTH)副甲状腺ホルモン peptide hormoneペプチドホルモン pheochromocytomaクロム親和[性]細胞腫、褐色細胞腫 pituitary下垂体〔性〕の pituitary adenoma下垂体腺腫 pituitary hormone下垂体ホルモン polyphagia (polyphagy)多食[症]、過食[症] polyuria [tokyo-med.ac.jp]

    Case presentation A 48-year-old Chinese woman presented with polydipsia and polyuria in January 2011. [bmcendocrdisord.biomedcentral.com]

    At the time of diagnosis, the patient presented with polyuria, polydipsia and a random glucose of 20 mmol/l. She tested positive for anti-gliadin antibodies and islet cell antibodies. [edmcasereports.com]

Workup

Serum

  • Insulin Increased

    […] can increase the speed of absorption. [medical-dictionary.thefreedictionary.com]

  • Glucose Decreased

    Plasma glucose decreased slightly after an intravenous 0.1 U/kg insulin challenge test. The findings suggested severe insulin resistance. [link.springer.com]

Treatment

It also requires a different approach to treatment. [endocrine.org]

The other patients who developed hypoglycemia (21.1%) were on treatment or had previously received insulin treatment. Amenorrhea and hyperandrogenism were present in a few cases ( 11. Gehi A, Webb A, Nolte M, Davis J. [scielo.br]

Six patients had clinical remission (within 6 wk of treatment) and six patients had persistent disease (1). [ncbi.nlm.nih.gov]

Management and treatment Treatment of the underlying autoimmune disease consists of non-specific immunosuppressors associated with very high doses of insulin to try to control the hyperglycemia. [orpha.net]

Steroids were suspended and treatment with insulin was begun. [postertalks.com]

Prognosis

Prognosis Prognosis depends on the underlying autoimmune disease, but it is unfavorable in cases with hypoglycemia (leading to death in 50% of cases). Last updated: 1/1/2009 [rarediseases.info.nih.gov]

Prognosis Prognosis depends on the underlying autoimmune disease, but it is unfavorable in cases with hypoglycemia (leading to death in 50% of cases). The documents contained in this web site are presented for information purposes only. [orpha.net]

Thus, the prognosis of Acanthosis Nigricans is excellent with adequate (skin) treatment. [dovemed.com]

The results of this study suggest that the UIP subtype on HRCT did not show a statistically significant association but could be associated with a poor prognosis. [kjim.org]

Why diagnose monogenic diabetes  To elucidate the pathophysiology  Changes the treatment  diagnosis has implications for other family members often correcting their diagnosis, prognosis and treatment as well as allowing appropriate genetic counselling [slideshare.net]

Etiology

Applicable To Dysmetabolic syndrome X Use Additional Use Additional Help Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10data.com]

Etiology The syndrome is associated with the presence of serum auto-antibodies against the insulin receptor. [rarediseases.info.nih.gov]

Etiologic diagnosis and behaviour when confronted with abnormal hair growth in a child. Ann Dermatol Venereol. 2002;129:817-20. Longo N, Wang Y et al. Genotype-phenotype correlation in inherited severe insulin resistance. [malattierare.regione.veneto.it]

THE IMPORTANCE OF INSULIN RESISTANCE Insulin resistance has a wide variety of etiologies, both congenital and acquired, and is found in a variety of normal physiologic states, such as pregnancy. A summary of potential etiologies is found in Table 1. [glowm.com]

Epidemiology

Our understanding of the epidemiology and economic impact of these disorders has expanded, emphasizing their critical importance. These are but a few highlights of how the terrain has changed in a relatively brief period of time. [books.google.de]

Epidemiology It is a rare disorder that affects middle-aged adults, predominantly females. [rarediseases.info.nih.gov]

Gottlieb Abstract Author Information Authors Article Metrics Metrics To review the epidemiology, pathophysiology, clinical features, and management of type B insulin resistance syndrome. [journals.lww.com]

Summary Epidemiology It is a rare disorder that affects middle-aged adults, predominantly females. [orpha.net]

Original Article New Dec 2018 (v42 n6) Epidemiology Han SJ, Boyko EJ, Kim SK, Fujimoto WY, Kahn SE, Leonetti DL. Original Article New Dec 2018 (v42 n6) Complications Yang Y, Lee EY, Cho JH, Park YM, Ko SH, Yoon KH, Kang MI, Cha BY, Lee SH. [e-dmj.org]

Pathophysiology

Chapters cover both basic pathophysiology informed by studies of animal models as well as current understanding of multiple related clinical diseases—their pathophysiology, diagnosis, and therapy. [books.google.de]

Gottlieb Abstract Author Information Authors Article Metrics Metrics To review the epidemiology, pathophysiology, clinical features, and management of type B insulin resistance syndrome. [journals.lww.com]

The pathogenesis and pathophysiology of type 1 and type 2 diabetes mellitus. J. Physiol. Pathophysiol. Journal of Physiology and Pathophysiology,4 (4), 46-57.doi:10.5897/jpap2013.0001 Share Information and Help Others [diabeteslibrary.org]

A recent article reviewed the pathophysiological mechanisms linked to insulin resistance in type 2 diabetes. [diabetesincontrol.com]

Prevention

Maintains healthy eyesight Anti inflammatory effect: intensifies anti inflammatory effect of cytokines Diminishes inflammatory processes asociated to metabolic syndrome, thus reducing obesity risk, insuline resistance and dislipidaemia Contributes to preventing [hyllan.ro]

USA.The aim of DPP is to evaluate the result of intervention on prevention of diabetes in IGT patients. [diabetesindia.com]

Prevention A lifelong commitment to a healthy lifestyle may prevent the conditions that cause metabolic syndrome. [mayoclinic.org]

It gives compreensive coverage of the epidemiology, aetiology, and mechanism of disease, as well as clear, unambiguous coverage of the diagnosis, practical management and prevention of the entire spectrum of medical disorders. [books.google.de]

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2.1
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