Diabetic neuropathic cachexia: a case report
نویسندگان
چکیده
INTRODUCTION We report a case of the rare entity of diabetic neuropathic cachexia, in order to remind clinicians that these cases still exist. CASE PRESENTATION A 71-year-old Moslem Arab man with type 2 diabetes along with diabetic neuropathic cachexia complicated by a hyperfunctioning autonomous thyroid nodule, and undiagnosed acromegaly came under our care. We report the unique challenges as to what are the priorities to consider in the course of investigation and treatment. This case emphasizes the fast recovery from this remediable disorder, with antineuropathic medication and exogenous insulin to serve as an anabolic hormone on top of its hypoglycemic effect. Shared pathophysiologic aspects of diabetic neuropathic cachexia, cancerous etiologies and acute phase response are discussed. CONCLUSIONS Diabetic neuropathic cachexia is an integral differential diagnosis, whenever an intense neuropathic pain dominates patient complaints, accompanied with anorexia, weight loss as well as mood and sleep disturbances. This is an original case report of interest to internists, endocrinologists, diabetologists and pain clinic practitioners. Raising the suspicion of diabetic neuropathic cachexia early and concomitant to weight loss investigation, might curtail suffering and prompt early recovery from a severe illness that has a good prognosis.
منابع مشابه
Diabetic neuropathic cachexia: report of a recurrent case.
Diabetic neuropathic cachexia is an uncommon peripheral neuropathy associated with diabetes mellitus and characterised by profound weight loss and painful dysaesthesias over the limbs and trunk. The pathophysiological basis of this disorder remains unknown and there have been no published cases of recurrent episodes. A hispanic man who experienced two episodes of diabetic neuropathic cachexia o...
متن کاملConcomitance of diabetic neuropathic amyotrophy and cachexia: a case report with review of the literature
Diabetic amyotrophy is a rare condition in which patients develop severe aching or burning pain in hips and thighs. This is followed by weakness and wasting of the muscles of proximal lower extremities, which often occur asymmetrically. Diabetic neuropathic cachexia is a different type of diabetic neuropathies. It leads to intense pain in affected extremities accompained by anorexia, weight los...
متن کاملVagus nerve shwannoma presented with long-term cachexia: report of a case and review of literature
Abstract Intraabdominal schwannomas are rare tumors that may arise from viscera or abdominal wall. The rarity accompanied by occurrence in odds places may make their diagnosis difficult and delayed. We present a case of distal paraesophageal schwannoma with long-term cachexia. A34-year-old man presented with long-lasting vomiting, dysphagia, and progressive cachexia for four years. Multip...
متن کاملPhotobiomodulation With Customized Insoles on Maximum Plantar Pressure in Diabetic Foot Syndrome Using the Biomechanical Model: A case report
A 49-year male patient with type 2 diabetes mellitus with diabetic foot syndrome was evaluated by comprehensive diabetic foot assessment. Photobiomodulation therapy (low-level laser therapy) was prescribed for neuropathic pain and symptoms with scanning and probe method for 10 sessions. Customized insoles were recommended for redistributing the plantar pressures and reducing stress on the diabe...
متن کاملAnalgesic Effect of a Single Dose of Adenosine for Neuropathic Pain Reduction in a Patient with Primitive Neuroechtodermal Tumor
Background: We report the analgesic efficacy of lumbar epidural adenosine injection in reducing the chronic neuropathic pain in a patient with primitive neuroectodermal tumor. Report of the Case: In this case report a 13-year-old male with primary neuroectodermal tumor (PNET) was administered in epidural space with adenosine to reduce his pain. The patient received 10ml of 0.25% ropivacaine ...
متن کامل