Uncommon scenario of spontaneous hypoglycemia after starting carbimazole due to insulin
autoimmune syndrome, characterized by high levels of insulinemia and circulating autoantibodies
to insulin without prior insulin administration. So far, in Western countries, <70
cases have been published. In addition, more than 380 cases of this syndrome have
been reported.
Keywords
Hirata disease - hypoglycemia - hypoglycemia induce by carbimazole - insulin autoimmune
syndrome - insulinoma differential diagnosis - insulinoma mimics