Treatable lumbosacral polyradiculitis masquerading as diabetic amyotrophy

O’Neill, Bryan J; Flanders, Adam E.; Escandon, Sandra L; Tahmoush, Albert J.

doi:10.1016/s0022-510x(97)00114-7

Cited by 16 publications

(3 citation statements)

References 7 publications

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“…The review was not designed to capture all the relevant articles but to be highly representative of the existing literature involving diabetic amyotrophy. The search resulted in selection of 20 case report articles [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22] and 8 observational case-series, 2,23-29 from which data was available for a total of 115 cases.…”

Section: Methodsmentioning

confidence: 99%

Diabetic Amyotrophy: From the Basics to the Bedside

Albers

Jacobson

Smyth

2020

EMJ

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Diabetic amyotrophy is a rare complication of diabetes compared to distal symmetric polyneuropathy, but can occasionally be encountered in clinical practice, particularly as the incidence of diabetes increases. The distinctive history of unilateral neuropathic symptoms followed rapidly by atrophy and weakness is typical of the disorder. This complication most commonly occurs in cases of well-controlled Type 2 diabetes mellitus. While the underlying pathophysiology is known to be microvasculitic in nature, the diagnosis is often based on clinical and electrodiagnostic grounds and tissue biopsy is not typically performed. Attempts at corticosteroid administration during immunotherapy should be carefully considered on a patient-by-patient basis. Better recognition of this disorder is likely to result in more rapid diagnosis, counselling, and subspecialty referral.

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Section: Methodsmentioning

confidence: 99%

Diabetic Amyotrophy: From the Basics to the Bedside

Albers

Jacobson

Smyth

2020

EMJ

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“…Serebrospinal sıvıda protein seviyesi artmış olarak bulunabilir (14). MRG gibi radyolojik çalışmalar potansiyel etyolojileri dışlamanın yanı sıra poliradikülopati tanısında da faydalıdır (15).…”

Section: Olguunclassified

Di̇z Patoloji̇si̇ İle Karişan Di̇yabeti̇k Amyotrofi̇ Olgusu

Güleç¹,

Aktaş²,

Özkan³

et al. 2017

bogazicitip

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Diyabetik amyotrofi (DA); sıklıkla Tip 2 diabetes mellitus hastalarında görülen, alt ekstremitelerde yanıcı tarzda ağrı ve proksimal kas güçsüzlüğüyle seyreden bir hastalıktır. Diyabet hastalarının daha yaşlı bir grubunu, sıklıkla 50 yaş üzerindeki erkekleri etkilemektedir. Nadir görülmesi sebebiyle tanınması zordur ve yanlış tanı alabilir. Yanlış tanı gereksiz tetkiklere ve tedavilere, hatta cerrahi girişimlere neden olabileceğinden alt ekstremitede ağrı ve güçsüzlük şikayetiyle gelen diyabetik hastalarda DA mutlaka akılda bulundurulmalıdır. Tanı klinik bulgular ve elektrofizyolojik çalışmalarla konur. Manyetik Rezonans Görüntüleme (MRG) olası patolojileri dışlamak için kullanılabilir. Tedavide sıkı glisemik kontrol, ağrıya yönelik medikal tedavi ve fizik tedavi ve rehabilitasyon önemli yer tutar. Çoğunlukla spontan olarak geriler. Bu makalede diz patolojsiyle karışan bir DA olgusu eşliğinde DA kliniği, tanısı ve tedavi yöntemleri tartışıldı.

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“…Finally, we would also caution clinicians about splitting patients with otherwise typical DLSRP because of nerve root enhancement on lumbar MRI scan. 27 If other etiologies are excluded by CSF analysis, the mere finding of root enhancement on MRI in DLSRP should not necessarily lead to the initiation of immunomodulating therapy.…”

Section: Introductionmentioning

confidence: 99%

Diabetic Neuropathy Part 2

2013

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Diabetic neuropathies consist of a variety of syndromes resulting from different types of damage to peripheral or cranial nerves. Although distal symmetric polyneuropathy is most common type of diabetic neuropathy, there are many other subtypes of diabetic neuropathies which have been defined since the 1800’s. Included in these descriptions are patients with proximal diabetic, truncal, cranial, median, and ulnar neuropathies. Various theories have been proposed for the pathogenesis of these neuropathies. The treatment of most of these requires tight and stable glycemic control. Spontaneous recovery is seen in most of these conditions with diabetic control Immunotherapies have been tried in some of these conditions but are quite controversial.

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Treatable lumbosacral polyradiculitis masquerading as diabetic amyotrophy

Cited by 16 publications

References 7 publications

Diabetic Amyotrophy: From the Basics to the Bedside

Diabetic Amyotrophy: From the Basics to the Bedside

Di̇z Patoloji̇si̇ İle Karişan Di̇yabeti̇k Amyotrofi̇ Olgusu

Diabetic Neuropathy Part 2

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