A Case of Post-treatment Neuropathy.

  • Miyamoto Yoshihiro
    Second Department of Internal Medicine, Asahikawa Medical College
  • Kanbayashi Hiroko
    Second Department of Internal Medicine, Asahikawa Medical College
  • Kashiwaya Tagui
    Second Department of Internal Medicine, Asahikawa Medical College
  • Abiko Atsuko
    Second Department of Internal Medicine, Asahikawa Medical College
  • Itoh Hiroshi
    Second Department of Internal Medicine, Asahikawa Medical College
  • Makino Isao
    Second Department of Internal Medicine, Asahikawa Medical College

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Other Title
  • 電気生理学的に経過を追跡しえたPost‐treatment neuropathyの1例
  • ショウレイ ホウコク(ホッカイドウ チホウカイ スイセン ロンブン) デンキ セイリガクテキ ニ ケイカ オ ツイセキ シエタ Post-treatment neuropathy ノ 1レイ

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Abstract

A 28-year-old woman reporting polydipsia, polyuria, and weight loss was diagnosed with type 2 diabetes by her physician, and underwent insulin treatment. She was admitted to our hospital due to paresthesia in both lower extremities with rapid improvement of glycemic control. Neurological examination showed sensory abnormality in both lower extremities. Nerve conduction studies showed decreased tibial motor nerve conduction velocity, increased tibial F-wave minimum latency, and decreased sural sensory nerve action potential. She did not have diabetic retinopathy or nephropathy. Paresthesia and abnormalities of nerve conduction studies improved with time, and paresthesia disappeared 6 months later. Her clinical course was thought to be compatible with post-treatment neuropathy.

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