%0 Journal Article %T Elevated pancreatic enzymes, IgM, soluble interleukin-2 receptor in anti-GADab(+) type 1 diabetes %A Hidekatsu Yanai %A Sumie Moriyama %J World Journal of Diabetes %D 2011 %I Baishideng Publishing Group Co. Limited %R 10.4239/wjd.v2.i5.75 %X Type 1 diabetes can be classified into immune-mediated diabetes (type 1A) and idiopathic diabetes, which lacks immunological evidence for beta cell autoimmunity (type 1B). Type 1A diabetes is characterized by the presence of the anti-glutamic acid decarboxylase antibody (anti-GADab). Fulminant type 1 diabetes is classified as type 1B diabetes, and characterized by the absence of anti-GADab, flu-like symptoms, and elevated serum exocrine pancreatic enzymes. We report a type 1 diabetic patient who showed flu-like symptoms, elevated serum exocrine pancreatic enzymes, and an extremely high-titer of anti-GADab, manifesting the characteristics of both type 1A and fulminant type 1 diabetes. %K Anti-glutamic acid decarboxylase antibody %K Exocrine pancreatic enzymes %K Type 1 diabetes %K Soluble interleukin-2 receptor %U http://www.wjgnet.com/1948-9358/full/v2/i5/75.htm