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Diabetic painful truncal neuropathy with hypohidrosis and facial palsy
Author(s) -
Tsunoda Keiichiro,
Omote Yoshio,
Hishikawa Nozomi,
Ikegami Ken,
Nakano Yumiko,
Sato Kota,
Takemoto Mami,
Ohta Yasuyuki,
Yamashita Toru,
Deguchi Kentaro,
Abe Koji
Publication year - 2020
Publication title -
neurology and clinical neuroscience
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.125
0ISSN - 2049-4173
DOI - 10.1111/ncn3.12370
Subject(s) - medicine , palsy , oculomotor nerve palsy , surgery , diabetic neuropathy , peripheral neuropathy , diabetes mellitus , pathology , alternative medicine , endocrinology
Abstract Truncal neuropathy is a rare phenotype of diabetic neuropathy. Here, we report the first case of diabetic painful truncal neuropathy complaining of back pain with hypohidrosis confirmed by a sweat test accompanied by cranial nerve palsy. The patient had poorly controlled type 2 diabetes mellitus and suffered from back pain followed by facial palsy. After pulse therapy with methylprednisolone facial palsy improved, but back pain was intractable with a loss of body weight. The sweat test showed hypohidrosis on the back and soles on his feet. Sural nerve biopsy revealed decreased small fibers and mild axonopathy. After palliative therapy, his symptoms gradually improved.