- 期刊
疑似Methimazole引起胰島素自體免疫症候群導致低血糖症狀之案例報告
A Case Report of Suspect Methimazole Caused Hypoglycemic Symptoms From Insulin Autoimmune Syndrome
摘要
Methimazole為一抗甲狀腺藥物。常見不良反應有關節炎、顆粒性白血球低下、腸胃不適、皮膚紅疹、黃疸及掉髮。此案例為一位女性因使用methimazole治療葛瑞夫茲氏症(Graves' disease)引起疑似胰島素自體免疫症候群造成之低血糖症狀。此種案例雖少見，但臨床醫療人員仍須隨時注意、密切監測病人是否有發生藥物不良反應。
並列摘要
Methimazole is an anti-thyroid agent. Its adverse effect includes arthralgia, agranulocytosis, gastrointestinal upset, skin rash, jaundice and alopecia. We have a case report about a woman who use methimazole to treat Graves' disease and develop hypoglycemic symptoms due to suspect insulin autoimmune syndrome. Although this adverse effect is uncommon, clinicians should be familiar with the possibility and monitor adverse effect when there is a doubt.
延伸閱讀
- 楊凱婷、王詩瑋、蔡孟軒、劉淑貞（2022）。疑似Methimazole引起之顆粒性白血球缺乏症之案例報告。臺灣臨床藥學雜誌，30(4)，283-292。https://doi.org/10.6168/FJCP.202210_30(4).0005
- 陳昱旻（2001）。疑似methimazole引起之顆粒性白血球缺乏症案例報告。彰基藥訊，9(1)，14-17。https://doi.org/10.29600/BGYY.200103.0004
- Chen, P. H., Hsueh, H. F., & Hong, C. Z. (2006). 糖尿病酮酸中毒併發類基蘭巴瑞症候群之急性神經病變：病例報告. 台灣復健醫學雜誌, 34(1), 41-47. https://doi.org/10.6315/2006.34(1)06
- 黃微瑄、吳佳憓、涂淑倩、蕭惠娟（2015）。Megestrol Acetate導致血糖惡化之案例報告。臺灣臨床藥學雜誌，23(3)，225-234。https://doi.org/10.6168/FJCP.2015.2303.07
- Chu, Y. C., Wu, C. S., Yang, C. C., Lui, Y. T., Lam, K. L., & Chen, C. H. (2002). Autoimmune Hemolytic Anemia in a Patient with Combination Therapy for Hepatitis C: Report of a Case. 臺灣消化醫學雜誌, 19(3), 209-214. https://doi.org/10.6557/GJT.200209_19(3).0006