Rare association of insulin autoimmune syndrome with ankylosing spondylitis.

We describe a patient with hitherto an unreported association of IAS with ankylosing spondylitis. We have also performed and described a simplified method of polyethylene glycol (PEG) precipitation of an insulin bound antibody in the serum. LEARNING POINTS: IAS should be considered in differential diagnosis of endogenous hyperinsulinemic hypoglycaemia.Ankylosing spondylitis can be associated with IAS apart from several other autoimmune diseases.Very high serum insulin levels (100-10 000 μU/ml) are frequently seen in IAS.When faced with very high serum insulin before suspecting insulinoma, it is advisable that PEG precipitation of serum be done to identify antibody bound insulin.A clinical suspicion of IAS can avoid expensive imaging and unnecessary surgery in affected patients. PMID: 26527431 [PubMed]
Source: Diabetes Metab - Category: Endocrinology Authors: Tags: Endocrinol Diabetes Metab Case Rep Source Type: research