胰岛素自身免疫综合征 (IAS)是临床上极少见的疾病 ,它是在遗传免疫缺陷的基础上加上某种诱因而起病 ,且容易误诊。现将我们发现的一例无明显诱因的IAS报道如下。患者男性 ,6 7岁 ,农民。患者于半月前无明显诱因突感心慌、出大量冷汗、伴双手颤抖、明显乏力及饥饿感 ;无头痛头 Insulin autoimmune syndrome (IAS) is a clinically rare disease, which is based on genetic immunodeficiency plus some incentives and onset, and easy to misdiagnosis. Now we find one case of no obvious incentive IAS reported below. Male patient, 6 7 years old, farmer. No obvious incentive in half a month before the patient suddenly felt palpitation, a large number of cold sweat, trembling with both hands, obviously weakness and hunger; no headache