一个17岁的男孩谁提出急性单神经病变被发现有1型糖尿病

IF 1.4 4区医学 Q3 PEDIATRICS

Paediatrics and International Child Health Pub Date : 2022-04-03 DOI:10.1080/20469047.2022.2059879

Fatma Özgüç Çömlek, Y. Karal, Filiz Tütüncüler

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引用次数: 3

摘要

摘要1型糖尿病儿童和青少年的糖尿病神经病变是罕见的，通常是亚临床的，是糖尿病晚期的并发症。一名17岁男孩因右脚突然下垂入院，被诊断为腓神经麻痹。在过去的两个月里，他有渗透性多尿、多饮和体重减轻；他的血糖为25 mmol/L（<7.8），HbA1c为15.2%（4.0-5.6），维生素B12为125 pg/ml（180-914）。通过血糖调节和补充B12，腓神经麻痹在3个月内得到缓解。在对不寻常的单神经病病例进行鉴别诊断时，应牢记糖尿病。缩写：DCCTS：糖尿病控制和并发症试验研究；DM：糖尿病；DN：糖尿病性神经病；GAD：谷氨酸脱羧酶；PN：周围神经病变；T1DM：1型糖尿病。

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A 17-year-old boy who presented with acute mononeuropathy was found to have Type 1 diabetes

ABSTRACT Diabetic neuropathy in children and adolescents with Type 1 diabetes mellitus is rare and is usually subclinical and a complication of the late diabetes period. A 17-year-old boy admitted with a right foot drop of sudden onset was diagnosed with peroneal nerve palsy. He had had osmotic polyuria, polydipsia and weight loss for the past 2 months; his blood glucose was 25 mmol/L (<7.8), HbA1c 15.2% (4.0–5.6) and vitamin B12 125 pg/ml (180–914). The peroneal nerve palsy resolved within 3 months with blood glucose regulation and B12 supplementation. Diabetes should be borne in mind in the differential diagnosis of unusual cases of mononeuropathy. Abbreviations: DCCTS: Diabetes Control and Complications Trial Study; DM: diabetes mellitus; DN: diabetic neuropathy; GAD: glutamic acid decarboxylase; PN: peripheral neuropathy; T1DM: Type 1 diabetes mellitus.

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来源期刊

Paediatrics and International Child Health PEDIATRICS-

CiteScore

3.30

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Paediatrics and International Child Health is an international forum for all aspects of paediatrics and child health in developing and low-income countries. The international, peer-reviewed papers cover a wide range of diseases in childhood and examine the social and cultural settings in which they occur. Although the main aim is to enable authors in developing and low-income countries to publish internationally, it also accepts relevant papers from industrialised countries. The journal is a key publication for all with an interest in paediatric health in low-resource settings.