报告一例应用甲巯咪唑后出现自身免疫性低血糖患者,检测IAA(+),诊断“胰岛素自身免疫综合征”。患者未接受过胰岛素治疗,在低血糖发作时,胰岛素水平明显升高。停用甲巯咪唑改为丙硫氧嘧啶后,低血糖发作减少。 One case of autoimmune hypoglycemia after methimazole was reported. IAA (+) was detected and “autoimmune syndrome of insulin” was diagnosed. Patients have not received insulin treatment, in hypoglycemic attacks, insulin levels were significantly increased. Hypothyroidism was reduced after cessation of methimazole to propylthiouracil.