A case of polyneuropathy associated with diabetic ketoacidosis in new‐onset type 1 diabetes
| Autor: | Kokoro Sada, Hirotaka Shibata, Shuji Hidaka, Makoto Takemaru, Daisuke Ueno |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Pediatrics
medicine.medical_specialty Type 1 diabetes Diabetic ketoacidosis business.industry Endocrinology Diabetes and Metabolism Context (language use) General Medicine medicine.disease Facial paralysis Peripheral neuropathy Diabetes mellitus Internal Medicine medicine Paralysis medicine.symptom business Polyneuropathy |
| Zdroj: | Journal of Diabetes Investigation. 13:918-922 |
| ISSN: | 2040-1124 2040-1116 |
| DOI: | 10.1111/jdi.13724 |
| Popis: | Although diabetic peripheral neuropathy is the most common diabetic microangiopathic complication, several other neuropathy syndromes can occur in the context of diabetes. We describe a rare case of polyneuropathy associated with diabetic ketoacidosis in a patient with new-onset type 1 diabetes. A 42-year-old man with diabetic ketoacidosis was admitted to our hospital with complications of respiratory and renal failure requiring mechanical ventilation and hemodialysis, respectively. After diabetic ketoacidosis improved from the critical state, he developed upper- and lower-limb paralysis with sensory disturbances and pain, as well as right facial paralysis, left recurrent nerve paralysis, and left hypoglossal nerve paralysis. Autonomic nervous function was also impaired. As the pathophysiology, prevention, and treatment of polyneuropathy associated with diabetic ketoacidosis are unclear, the neurologic function of diabetic ketoacidosis patients should be closely monitored. |
| Databáze: | OpenAIRE |
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