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Seasonality of type 1 (insulin-dependent) diabetes mellitus: values of C-peptide, insulin antibodies and haemoglobin A1c show evidence of a more rapid loss of insulin secretion in epidemic patients.
Ludvigsson J, Afoke AO. Ludvigsson J, et al. Among authors: afoke ao. Diabetologia. 1989 Feb;32(2):84-91. doi: 10.1007/BF00505179. Diabetologia. 1989. PMID: 2656353
Seasonal variation and sex differences of circulating macrophages, immunoglobulins and lymphocytes in healthy school children.
Afoke AO, Eeg-Olofsson O, Hed J, Kjellman NI, Lindblom B, Ludvigsson J. Afoke AO, et al. Scand J Immunol. 1993 Feb;37(2):209-15. doi: 10.1111/j.1365-3083.1993.tb01758.x. Scand J Immunol. 1993. PMID: 8094576
Prevalence and clinical picture of IDDM in Nigerian Igbo schoolchildren.
Afoke AO, Ejeh NM, Nwonu EN, Okafor CO, Udeh NJ, Ludvigsson J. Afoke AO, et al. Diabetes Care. 1992 Oct;15(10):1310-2. doi: 10.2337/diacare.15.10.1310. Diabetes Care. 1992. PMID: 1425094
Raised IgG and IgM in "epidemic" IDDM suggest that infections are responsible for the seasonality of type I diabetes.
Afoke A, Ludvigsson J, Hed J, Lindblom B. Afoke A, et al. Diabetes Res. 1991 Jan;16(1):11-7. Diabetes Res. 1991. PMID: 1818792