Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Biodistribution of Insulin Following Massive Insulin Subcutaneous Injection
Tomoya IkedaNaoto TaniTatsuya HirokawaKei IkedaFumiya MoriokaAlissa ShidaYayoi AokiTakaki Ishikawa
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ジャーナル オープンアクセス

2022 年 61 巻 13 号 p. 1999-2006

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A man in his 30s injected insulin several times into his abdomen and was found dead several hours later. Micropathological findings showed alveolar injury with hemorrhaging and cerebral parietal lobe nerve cell edema. Biochemical examinations showed that the blood insulin level was high, significantly so at the insulin injection sites. The blood glucose and C-peptide levels were low. The insulin level in the kidneys was low. In forensic medicine, a postmortem diagnosis of insulin subcutaneous injection is often difficult. When insulin injection is suspected, particularly high insulin levels can be expected at the insulin injection site, rather than in the blood.

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© 2022 by The Japanese Society of Internal Medicine
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