Document Detail


Classification and characteristics of interferon-related diabetes mellitus in Japan.
MedLine Citation:
PMID:  21269387     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Aim:  The aim of this study was to assess the classification and clinical characteristics of interferon (IFN)-related diabetes. Methods:  Cases with IFN-related diabetes in Japan were retrieved through web search engines for medical literature until July in 2009, and unreported data were obtained from the authors by letter or e-mail. Results:  We collected 143 cases with IFN-related diabetes consisting of 104 type 1 diabetes including 4 own cases, and 39 non-autoimmune type 2-like diabetes. We found a marked increase in IFN-related type 1 diabetes for these 3 years. In contrast, no increase was observed in IFN-related type 2-like diabetes in the literature. Polyethylene glycol (PEG)-IFN and ribavirin had been more frequently used in patients with type 1 diabetes than in patients with type 2-like diabetes. The age of diabetes onset was comparable between type 1 and type 2-like diabetes, while the ratio of male patients was higher and the latency before diabetes was shorter in type 2-like diabetes. Patients with IFN-related type 1 diabetes had HLA types susceptible to Japanese type 1 diabetic patients, and a high positive rate of GAD antibodies. Conclusion:  Potent combination therapy with PEG-IFN and ribavirin is likely associated with the increase in IFN-related type 1 diabetes. The combined measurement of GAD antibody and HLA-typing could be an effective strategy to predict the onset of type 1 diabetes associated with IFN therapy.
Authors:
Kazuhisa Muraishi; Yuko Sasaki; Tomoko Kato; Chizuko Inada; Yuji Tajiri; Kentaro Yamada
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Hepatology research : the official journal of the Japan Society of Hepatology     Volume:  41     ISSN:  1386-6346     ISO Abbreviation:  Hepatol. Res.     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-01-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9711801     Medline TA:  Hepatol Res     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  184-8     Citation Subset:  -    
Copyright Information:
© 2011 The Japan Society of Hepatology.
Affiliation:
Division of Endocrinology and Metabolism, Department of Medicine, Kurume University School of Medicine Inada Naika Clinic, Kurume, Japan.
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