OBJECTIVE - To evaluate the efficacy of the administration of insulin
by a jet-injector device in stopping and reversing severe human insuli
n-induced lipoatrophy. CASE - We report a case of a woman with severe
human insulin-induced lipoatrophy vi ho has been treated exclusively w
ith recombinant DNA human insulin since the onset of IDDM. RESULTS - T
he loss of subcutaneous tissue in the injection areas was demonstrated
and measured by high-frequency ultrasound. Dermatologic exam demonstr
ated a severe reduction of fat tissue. After 8 months of administratio
n of human insulin by a jet injector, there were no more new lesions o
f lipoatrophy and those affected areas were substantially ameliorated.
CONCLUSIONS - Jet-injection devices might constitute a helpful method
to treat those patients affected by severe human insulin-induced lipo
atrophy.