Case Report
Volume: 1 | Issue: 1 | Published: Apr 10, 2017 | Pages: 44 - 46 | DOI: 10.24911/ejmcr/1/11
Acute Mononeuropathy as the first presentation of Pediatric Type 1 Diabetes Mellitus: a case report
Authors: Sonal Kapoor , Prem Sundaram , Vaya Tziaferi , Manish Prasad
Article Info
Authors
Sonal Kapoor
Department of Pediatrics, Leicester Royal Infirmary, University Hospitals of Leicester, Leicester, UK
Prem Sundaram
Department of Pediatric Neurology, Nottingham University Hospitals, Nottingham NG7 2UH, UK
Vaya Tziaferi
Department of Pediatrics, Leicester Royal Infirmary, University Hospitals of Leicester, Leicester, UK.
Manish Prasad
Department of Pediatric Neurology, Nottingham University Hospitals, Nottingham NG7 2UH, UK.
Publication History
Received: April 10, 2017
Accepted: January 01, 1970
Published: April 10, 2017
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, green
