EJMCR. 2017; 1(January 2017): 44-46

Acute Mononeuropathy as the first presentation of Pediatric Type 1 Diabetes Mellitus: a case report

Authors: Sonal Kapoor, Prem Sundaram, Vaya Tziaferi, Manish Prasad.

ABSTRACT

Background: Prevalence of neuropathy in Diabetes in the pediatric age group is very low. Moreover, it is often a late complication of diabetes mellitus (DM) and usually related to the duration of diabetes, poor glycemic control and advanced age. We present here an interesting case of motor neuropathy as a first manifestation of Type 1 diabetes in an adolescent. Case presentation: A previously fit fourteen years old girl presented with sudden onset right foot drop. There was a history of osmotic symptoms and weight loss over the preceding last few months before presentation. Investigations revealed Type 1 diabetes mellitus. So, our patient was started on Multiple Daily Insulin Injection Regimen (MDI) as per protocol and the foot drop recovered within a period of two months. Conclusion: Mononeuropathy as a first presentation of diabetes is extremely rare. It is extremely important to assess the blood glucose in patients with peripheral neuropathy. Normalizing blood glucose levels leads to rapid neuronal recovery.

Keywords:
case report, Diabetes Mellitus, mononeuropathy, foot drop, multiple daily insulin injection regimen


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Acute Mononeuropathy as the first presentation of Pediatric Type 1 Diabetes Mellitus: a case report


Authors
Sonal Kapoor
Department of Pediatrics, Leicester Royal Infirmary, University Hospitals of Leicester, Leicester, UK
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Prem Sundaram
Department of Pediatric Neurology, Nottingham University Hospitals, Nottingham NG7 2UH, UK
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Vaya Tziaferi

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Manish Prasad

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Correspondence to:
. Department of Pediatrics, Leicester Royal Infirmary, University Hospitals of Leicester, Leicester, United Kingdom;

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Pubmed Style

Kapoor S, Sundaram P, Tziaferi V, Prasad M. Acute Mononeuropathy as the first presentation of Pediatric Type 1 Diabetes Mellitus: a case report. EJMCR. 2017; 1(January 2017): 44-46. doi:10.24911/ejmcr/1/11


Web Style

Kapoor S, Sundaram P, Tziaferi V, Prasad M. Acute Mononeuropathy as the first presentation of Pediatric Type 1 Diabetes Mellitus: a case report. http://www.ejmcr.com/?mno=263778 [Access: June 21, 2018]. doi:10.24911/ejmcr/1/11


AMA (American Medical Association) Style

Kapoor S, Sundaram P, Tziaferi V, Prasad M. Acute Mononeuropathy as the first presentation of Pediatric Type 1 Diabetes Mellitus: a case report. EJMCR. 2017; 1(January 2017): 44-46. doi:10.24911/ejmcr/1/11


Vancouver/ICMJE Style

Kapoor S, Sundaram P, Tziaferi V, Prasad M. Acute Mononeuropathy as the first presentation of Pediatric Type 1 Diabetes Mellitus: a case report. EJMCR. (2017), [cited June 21, 2018]; 1(January 2017): 44-46. doi:10.24911/ejmcr/1/11


Harvard Style

Kapoor, S., Sundaram, P., Tziaferi, V. & Prasad, M. (2017) Acute Mononeuropathy as the first presentation of Pediatric Type 1 Diabetes Mellitus: a case report. EJMCR, 1 (January 2017), 44-46. doi:10.24911/ejmcr/1/11


Turabian Style

Kapoor, Sonal, Prem Sundaram, Vaya Tziaferi, and Manish Prasad. 2017. Acute Mononeuropathy as the first presentation of Pediatric Type 1 Diabetes Mellitus: a case report. European Journal of Medical Case Reports, 1 (January 2017), 44-46. doi:10.24911/ejmcr/1/11


Chicago Style

Kapoor, Sonal, Prem Sundaram, Vaya Tziaferi, and Manish Prasad. "Acute Mononeuropathy as the first presentation of Pediatric Type 1 Diabetes Mellitus: a case report." European Journal of Medical Case Reports 1 (2017), 44-46. doi:10.24911/ejmcr/1/11


MLA (The Modern Language Association) Style

Kapoor, Sonal, Prem Sundaram, Vaya Tziaferi, and Manish Prasad. "Acute Mononeuropathy as the first presentation of Pediatric Type 1 Diabetes Mellitus: a case report." European Journal of Medical Case Reports 1.January 2017 (2017), 44-46. Print. doi:10.24911/ejmcr/1/11


APA (American Psychological Association) Style

Kapoor, S., Sundaram, P., Tziaferi, V. & Prasad, M. (2017) Acute Mononeuropathy as the first presentation of Pediatric Type 1 Diabetes Mellitus: a case report. European Journal of Medical Case Reports, 1 (January 2017), 44-46. doi:10.24911/ejmcr/1/11


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