Reactions 1704, p203 - 2 Jun 2018 Type 1 diabetes mellitus: case report A 59-year-old woman developed type 1 diabetes mellitus following treatment with interferon α [route and dosage not stated]. The woman, who had been diagnosed with nodular malignant melanoma, was receiving treatment with low doses of interferon α. She presented to hospital for excessive thirst, fatigue, polyuria and weight loss. Fifteen months following the interferon α treatment, her fasting plasma glucose level found to be elevated. She was found to have symptoms of polydypsia and polyuria. She did not have a previous history of glucose intolerance. Thereafter, her plasma glucose level elevated to 1126mg/dL with serum glycosylated haemoglobin of 12.4%. Antibodies to glutamic acid decarboxylase and islet antigen-2 were negative. From these findings, she was diagnosed with type 1 diabetes mellitus, which was considered to be related to interferon α. She was admitted and received treatment with insulin and volume substitution as a counter-regulation. Three days following admission, she was shifted to the general inpatient department. Her glucose level returned to normal. The woman’s treatment with interferon α was discontinued. She was treated with insulin. At a one year follow-up, her type 1 diabetes mellitus persisted. Author comment: "To the best of our knowledge, this is the first reported case of low-dose [interferon-alfa]-induced type 1 diabetes." Sossau D, et al. Type 1 diabetes mellitus caused by treatment with low-dose interferon-alpha in a melanoma patient. Melanoma Research 27: 516-518, No. 5, 19 Jul 2017. Available from: URL: http://doi.org/10.1097/ CMR.0000000000000381 - Germany 803322946 0114-9954/18/1704-0001/$14.95 Adis © 2018 Springer International Publishing AG. All rights reserved Reactions 2 Jun 2018 No. 1704
Reactions Weekly – Springer Journals
Published: Jun 2, 2018
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