Case Report

Late Systemic Lupus Erythematosus-Associated Insulin Resistance Syndrome: A Rare Cause of De Novo Diabetes Mellitus

Table 3

SLE-associated TBIRS patients’ characteristics.

Clinical and demographic characteristicsMean and frequencies

RaceAfrican American 39%
Caucasian 16%
Asian 39%
Latin 6%

AgeMean: 43 years
Range: 8–69 years

Hypoglycemia35%

Acanthosis61%

Hypocomplementemia39%

Late onset lupus (≥50 years)37.5%

ANAsSpeckled: 32%
Homogeneous: 10%
No specification/no report: 58%

TreatmentSteroids: 84%
Rituximab: 26%
Azathioprine: 13%
Mycophenolate: 13%
Immunoglobulin: 10%
Cyclophosphamide: 10%
Methotrexate: 10% cyclosporine: 6%
Bortezomib: 3%

Treatment responseSpontaneous 3.1%
Unknown 17.9%
Remission 80%

Death10% (4 patients)
2 due to unknown causes
1 due to P. jirovecii infection
1 due to motor vehicle accident