Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Case report
Year : 2016 | Month : May | Volume : 10 | Issue : 5 | Page : SD01 - SD02

Acute Painful Neuropathy in a Girl with Type 1 Diabetes: Long Term Follow-Up

Devi Dayal, Dhaarani Jayaraman, Naveen Sankhyan, Pratibha Singhi

1. Additional Professor, Department of Pediatrics, Postgraduate Institute of Medical Education and Research, Chandigarh, India. 2. Senior Resident, Department of Pediatrics, Postgraduate Institute of Medical Education and Research, Chandigarh, India. 3. Associate Professor, Department of Pediatrics, Postgraduate Institute of Medical Education and Research, Chandigarh, India. 4. Professor and Head, Department of Pediatrics, Chief, Pediatric Neurology and Neurodevelopment Unit, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Correspondence Address :
Dr. Devi Dayal,
Additional Professor, Pediatric Endocrinology and Diabetes Unit, Department of Pediatrics,
Advanced Pediatrics Center, Postgraduate Institute of Medical Education and Research,
Kairon Block, Sector 12, Chandigarh-160012, India.
E-mail: drdevidayal@gmail.com; dayal.devi@pgimer.edu.in

Abstract

Acute Painful Diabetic Neuropathy (APDN) is a reversible neuropathy that occurs in patients with diabetes usually after a fast improvement in glycaemic control. The condition is extremely rare in children with Type 1 Diabetes (T1D). We describe a 12-year-old girl T1D who developed APDN shortly after diagnosis of T1D. Neurological examination, nerve conduction studies showed severe asymmetric lower limb sensorimotor neuropathy. She was treated with carbamazepine and benfotiamine (vitamin B1 analogue), and NSAID analgesics and showed complete recovery 9 months after the onset. The treating physicians should recognize and understand this entity in view of the current recommendations for quick achievement of glycaemic targets in T1D, the need to provide relief from severe pain and to lay emphasis on complete recovery.

Keywords

Benfotiamine, Children, Glycaemic control, Insulin

How to cite this article :

Devi Dayal, Dhaarani Jayaraman, Naveen Sankhyan, Pratibha Singhi. ACUTE PAINFUL NEUROPATHY IN A GIRL WITH TYPE 1 DIABETES: LONG TERM FOLLOW-UP. Journal of Clinical and Diagnostic Research [serial online] 2016 May [cited: 2018 Jul 22 ]; 10:SD01-SD02. Available from
http://www.jcdr.net/back_issues.asp?issn=0973-709x&year=2016&month=May&volume=10&issue=5&page=SD01-SD02&id=7773

DOI and Others

DOI: 10.7860/JCDR/2016/19765.7773



Date of Submission: Feb 24, 2016
Date of Peer Review: Mar 28, 2015
Date of Acceptance: Apr 06, 2016
Date of Publishing: May 01, 2016

Financial OR OTHER COMPETING INTERESTS: None.

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