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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1984-8-20
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pubmed:abstractText |
A diabetic woman presented with diabetic ketoacidosis after demonstrating immediate-type hypersensitivity to heterologous insulin. She had had interrupted insulin therapy in the past. Insulin requirements during the course of treatment for the acidosis suggested marked resistance, with 50,000 U of insulin needed in the first 36 h. Anaphylaxis requiring intubation and emergency treatment developed after intravenous purified pork insulin was administered. Elevated titers of insulin-specific IgG (441.6 U/L serum) demonstrated immunologic insulin resistance. Positive intradermal skin tests for beef and pork insulins and detection of insulin-specific IgE by RAST assay revealed concurrent immediate-type allergy. A review of the literature revealed the unique occurrence in this patient of simultaneous ketoacidosis, insulin allergy, anaphylaxis, and immunologic resistance. Interrupted insulin therapy in susceptible individuals remains a potential danger, even with the availability of purified insulin preparations.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0149-5992
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
7
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
276-9
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pubmed:dateRevised |
2011-11-17
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pubmed:meshHeading |
pubmed-meshheading:6428840-Anaphylaxis,
pubmed-meshheading:6428840-Diabetic Ketoacidosis,
pubmed-meshheading:6428840-Drug Hypersensitivity,
pubmed-meshheading:6428840-Female,
pubmed-meshheading:6428840-Humans,
pubmed-meshheading:6428840-Immunoglobulin E,
pubmed-meshheading:6428840-Insulin,
pubmed-meshheading:6428840-Insulin Resistance,
pubmed-meshheading:6428840-Middle Aged,
pubmed-meshheading:6428840-Skin Tests
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pubmed:articleTitle |
Anaphylaxis and immunologic insulin resistance in a diabetic woman with ketoacidosis.
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pubmed:publicationType |
Journal Article,
Case Reports
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