Unmasking Hirata: a mysterious case of Hypoglycemia triggered by immunologic storm
We report a rare case of Insulin Autoimmune Syndrome in a 35-year-old woman with prior autoimmune features who developed hypoglycemia after an allergic reaction. Diagnosis was confirmed by insulin autoantibodies. Immunosuppressive therapy yielded significant improvement. This case suggests a broader autoimmune process may underlie seemingly isolated IAS presentations.
Authors
- Mousa Atary
- Amal Mansor
- Yasmin Dahabreh
- Mohammed AbuBaha (ORCID: https://orcid.org/0009-0000-0873-8374)
- Bara Abubaha (ORCID: https://orcid.org/0009-0001-2333-8309)
- Hatem Taha
- Hossam Salameh
- Omar Marouf
- Heba Qubaja
Institutions
- An-Najah National University (PS)
- Palestinian Hydrology Group (PS)
- Birzeit University (PS)
Publication Details
- Journal
- Oxford Medical Case Reports
- Published
- 2025-12-08
- DOI
- https://doi.org/10.1093/omcr/omaf289
- Primary Topic
- Diabetes Management and Research
- Type
- article
- Field-Weighted Citation Impact
- 0.00