A case of latent autoimmune diabetes of adult with systemic lupus erythematosus
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Abstract
Systemic lupus erythematosus and latent diabetes mellitus are chronic systemic disorders that affect any part of the body. Both have autoimmune origins. However, their coexistence is rare. A fifty-five-year-old woman of average build presented with skin rashes at Kamshet Primary Health Centre. Her blood test was positive for antinuclear antibodies, and she was treated with hydroxychloroquine. The patient also had increased urination and blurring of vision. Her fasting blood sugar was 260 mg/dl; her HbA1c was high,12.2%, and her C-peptide level was low (1.67 ng/ml). Singly and in combination, oral antidiabetic drugs made no difference to blood sugar levels, but the insulin response was prompt. We report a case that had features of both type 1 and type 2 diabetes along with systemic lupus erythematosus.
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