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天津发现首例B型胰岛素抵抗综合征患者

2015-11-26 张道正 中国新闻网

B型胰岛素抵抗
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天津市卫生和计划生育委员会17日透露，该市发现首例B型胰岛素抵抗综合征患者。 据了解，天津中医一附院近日收治了一名50岁的男患者，该患者周身乏力伴消瘦两个月，血糖水平较高，一直以2型糖尿病治疗。但入院体检发现，该患者呈顽固性空腹低血糖、餐后高血糖，糖尿病常规检查均与普通糖尿病患者不符，多项免疫指标阳性并伴发黑棘皮病、混合型结缔组织病等自身免疫相关疾病症状，最终诊断为B型胰岛素抵抗。据医生文献检索

天津市卫生和计划生育委员会17日透露，该市发现首例B型胰岛素抵抗综合征患者。

据了解，天津中医一附院近日收治了一名50岁的男患者，该患者周身乏力伴消瘦两个月，血糖水平较高，一直以2型糖尿病治疗。但入院体检发现，该患者呈顽固性空腹低血糖、餐后高血糖，糖尿病常规检查均与普通糖尿病患者不符，多项免疫指标阳性并伴发黑棘皮病、混合型结缔组织病等自身免疫相关疾病症状，最终诊断为B型胰岛素抵抗。据医生文献检索，B型胰岛素抵抗综合征患者十分罕见，该就诊患者为本市首例。

B型胰岛素抵抗综合征属于自身免疫相关性疾病，可以以顽固性低血糖、顽固性高血糖或其他自身免疫相关疾病症状为首发症状，国内鲜有报道。其发病机制为免疫机制紊乱导致胰岛素受体抗体产生。经过治疗，该患者空腹低血糖和餐后高血糖症状均有所好转。

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  1. [GetPortalCommentsPageByObjectIdResponse(id=2048334, encodeId=4059204833458, content=<a href='/topic/show?id=55d2382125' target=_blank style='color:#2F92EE;'>#B型胰岛素抵抗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3821, encryptionId=55d2382125, topicName=B型胰岛素抵抗)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a885259, createdName=yourmama, createdTime=Thu Aug 18 22:15:00 CST 2016, time=2016-08-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1749579, encodeId=857a1e4957992, content=<a href='/topic/show?id=be7c8385345' target=_blank style='color:#2F92EE;'>#胰岛#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83853, encryptionId=be7c8385345, topicName=胰岛)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a7a536274692, createdName=baoya, createdTime=Tue Dec 15 17:15:00 CST 2015, time=2015-12-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=44753, encodeId=bf8e44e5301, content=没听过, beContent=null, objectType=article, channel=null, level=null, likeNumber=88, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f7fd1652640, createdName=夜如云, createdTime=Fri Dec 04 14:21:00 CST 2015, time=2015-12-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1430562, encodeId=42d714305622c, content=<a href='/topic/show?id=f9b9e9124a8' target=_blank style='color:#2F92EE;'>#综合征#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=79124, encryptionId=f9b9e9124a8, topicName=综合征)], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=zhouqu_8, createdTime=Sat Nov 28 05:15:00 CST 2015, time=2015-11-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=43986, encodeId=7f6443986ec, content=胰岛素抵抗我知道，前面加个B型，我就没听说过了, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://login.medsci.cn/upload/avatar/e3b78fdf1c4d3e2e9ec6e03f643df0e2/6ca494c7b27a25fdde0721c5dac778d7.jpg, createdBy=2e441664544, createdName=鲜花飞鸟, createdTime=Fri Nov 27 17:22:00 CST 2015, time=2015-11-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=43938, encodeId=56a7439389e, content=抗体？, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2d331664955, createdName=老段, createdTime=Thu Nov 26 21:10:00 CST 2015, time=2015-11-26, status=1, ipAttribution=)]
    2016-08-18 yourmama

    #B型胰岛素抵抗#

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=2048334, encodeId=4059204833458, content=<a href='/topic/show?id=55d2382125' target=_blank style='color:#2F92EE;'>#B型胰岛素抵抗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3821, encryptionId=55d2382125, topicName=B型胰岛素抵抗)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a885259, createdName=yourmama, createdTime=Thu Aug 18 22:15:00 CST 2016, time=2016-08-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1749579, encodeId=857a1e4957992, content=<a href='/topic/show?id=be7c8385345' target=_blank style='color:#2F92EE;'>#胰岛#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83853, encryptionId=be7c8385345, topicName=胰岛)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a7a536274692, createdName=baoya, createdTime=Tue Dec 15 17:15:00 CST 2015, time=2015-12-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=44753, encodeId=bf8e44e5301, content=没听过, beContent=null, objectType=article, channel=null, level=null, likeNumber=88, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f7fd1652640, createdName=夜如云, createdTime=Fri Dec 04 14:21:00 CST 2015, time=2015-12-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1430562, encodeId=42d714305622c, content=<a href='/topic/show?id=f9b9e9124a8' target=_blank style='color:#2F92EE;'>#综合征#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=79124, encryptionId=f9b9e9124a8, topicName=综合征)], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=zhouqu_8, createdTime=Sat Nov 28 05:15:00 CST 2015, time=2015-11-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=43986, encodeId=7f6443986ec, content=胰岛素抵抗我知道，前面加个B型，我就没听说过了, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://login.medsci.cn/upload/avatar/e3b78fdf1c4d3e2e9ec6e03f643df0e2/6ca494c7b27a25fdde0721c5dac778d7.jpg, createdBy=2e441664544, createdName=鲜花飞鸟, createdTime=Fri Nov 27 17:22:00 CST 2015, time=2015-11-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=43938, encodeId=56a7439389e, content=抗体？, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2d331664955, createdName=老段, createdTime=Thu Nov 26 21:10:00 CST 2015, time=2015-11-26, status=1, ipAttribution=)]
    2015-12-15 baoya

    #胰岛#

    0

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    2015-12-04 夜如云

    没听过

    0

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    2015-11-28 zhouqu_8

    #综合征#

    0

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    2015-11-27 鲜花飞鸟

    胰岛素抵抗我知道，前面加个B型，我就没听说过了

    0

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    2015-11-26 老段

    抗体？

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