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Multifocal neuropathy and treatment‐induced neuropathy of diabetes following diabetic ketoacidosis
Author(s) -
Triplett James D,
Yiannikas Con
Publication year - 2019
Publication title -
neurology and clinical neuroscience
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.125
0ISSN - 2049-4173
DOI - 10.1111/ncn3.12329
Subject(s) - medicine , diabetic ketoacidosis , glycemic , diabetes mellitus , weakness , diabetic neuropathy , type 1 diabetes , ketoacidosis , intensive care medicine , surgery , endocrinology
Diabetes is associated with numerous neuropathies; some accompanies poor glycemic control including diabetic ketoacidosis‐associated (DKA) neuropathies, others occur following improved glycemic control including treatment‐induced neuropathies of diabetes (TIND). A 27‐year‐old poorly controlled type I diabetic female developed multifocal weakness and pains accompanied by widespread autonomic dysfunction following an episode of DKA with rapid and subsequent sustained glycemic control. Injury was thought to have occurred secondary to disruptions of the endoneurial microenvironment following rapid glycemic control.