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A difficult case
Combination of acute diabetic neuropathies following intensive glycaemic management
  1. Weverton Carlos Da Silva Teixeira,
  2. José Pedro Soares Baima,
  3. Angelina Maria Martins Lino
  1. Department of Neurology, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil
  1. Correspondence to Dr Weverton Carlos Da Silva Teixeira, Department of Neurology, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil; weverton.teixeira{at}hc.fm.usp.br

Abstract

While acute and monophasic diabetic neuropathy variants are considered relatively uncommon, diabetes mellitus affects over 6% of the global population, with more than 50% experiencing some form of diabetic neuropathy. Treatment-induced neuropathy of diabetes is an iatrogenic, transient neuropathy characterised by small fibre involvement precipitated by rapid glycaemic control. Diabetic lumbosacral radiculoplexus neuropathy is an asymmetric, predominantly motor neuropathy of the lower limbs, typically starting with localised leg pain. We present a 59-year-old man manifesting features of both conditions following a 12.5% decrease in glycated haemoglobin over 3 months.

  • DIABETES MELLITUS
  • DIABETIC NEUROPATHY
  • NEUROMUSCULAR

Data availability statement

Data sharing not applicable as no datasets generated and/or analysed for this study.

https://doi.org/10.1136/pn-2024-004262

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    Data availability statement

    Data sharing not applicable as no datasets generated and/or analysed for this study.

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    Footnotes

    • Contributors WCDST: conceptualised the project, gathered the data and wrote the manuscript. He is the guarantor. JPSB: provided neuromuscular expertise, contributed to data interpretation and critically revised the manuscript. AMML: provided neuromuscular expertise, contributed to data interpretation and critically revised the manuscript. article. All authors read and approved the final manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer-reviewed by Haider Katifi, Southampton, UK.

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