Endocrine Abstracts

Background: Insulin autoimmune syndrome (Hirata disease) is a very rare cause of hypoglycaemia; approximately 400 cases have been described. The presence of insulin autoantibodies leads to the formation of insulin-Ig complexes, with subsequent dissociation of insulin resulting in episodes of severe hypoglycaemia. The condition can present a diagnostic and management challenge.Case Report: A 77-year-old man was attended by paramedics with a GCS of 8 and s...