論文

2019年12月1日

Asymptomatic Pontine Lesion and Diabetic Amyotrophy after Rapid Improvement of Poor Glycemic Control in a Patient with Type 1 Diabetes.

Internal medicine (Tokyo, Japan)
  • Yuri Shimizu
  • ,
  • Junji Kozawa
  • ,
  • Tomoaki Hayakawa
  • ,
  • Yasuha Sakai
  • ,
  • Takekazu Kimura
  • ,
  • Tetsuhiro Kitamura
  • ,
  • Sho Murase
  • ,
  • Hisashi Tanaka
  • ,
  • Norikazu Maeda
  • ,
  • Michio Otsuki
  • ,
  • Takaaki Matsuoka
  • ,
  • Hideki Mochizuki
  • ,
  • Hiromi Iwahashi
  • ,
  • Iichiro Shimomura

58
23
開始ページ
3433
終了ページ
3439
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.2169/internalmedicine.2835-19

We herein report a 28-year-old woman with type 1 diabetes with an asymptomatic pontine lesion and diabetic amyotrophy. She had suffered from diabetes from 10 years old. Treatment in a hospital reduced the hemoglobin A1c level from 14.2% to 7.2% for approximately 2 months. She suffered from acute-onset pain and weakness of the lower limb muscles without central nervous system manifestations. Magnetic resonance imaging showed high-intensity lesions at the brainstem and lower limb muscles on T2-weighted images. These findings and symptoms gradually resolved. Rapid treatment of poor glycemic control might increase the risk of asymptomatic pontine lesions and diabetic amyotrophy.

リンク情報
DOI
https://doi.org/10.2169/internalmedicine.2835-19
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/31391398
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6928506
ID情報
  • DOI : 10.2169/internalmedicine.2835-19
  • PubMed ID : 31391398
  • PubMed Central 記事ID : PMC6928506

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