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Therapeutic plasma exchange for exogenous insulin antibody syndrome in combined variable immunodeficiency: a case report
Author(s) -
Robbins Daniel J.,
Taylor Natalie E.,
Narayanan Damodaran,
Hess Aaron S.,
Rose William N.
Publication year - 2020
Publication title -
journal of clinical apheresis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.697
H-Index - 46
eISSN - 1098-1101
pISSN - 0733-2459
DOI - 10.1002/jca.21769
Subject(s) - medicine , hypoglycemia , antibody , insulin , therapeutic plasma exchange , common variable immunodeficiency , diabetes mellitus , immunology , pediatrics , endocrinology
A 32‐year‐old male with type I diabetes presented with profound hypoglycemia due to exogenous insulin antibody syndrome in the setting of newly‐diagnosed common variable immunodeficiency. Immunomodulatory therapy was not initially effective, but after the initiation of plasma exchange hypoglycemia resolved, and glucose lability improved.