Diabetic Neuropathic Cachexia in a 50-Year-Old Woman with Type 2 Diabetes: First Case Report in Korea / 임상당뇨병
Journal of Korean Diabetes
; : 78-82, 2015.
Article
in Korean
| WPRIM (Western Pacific)
| ID: wpr-727020
Responsible library:
WPRO
ABSTRACT
Diabetic neuropathic cachexia (DNC) is one of the rarest presentations of diabetic neuropathy associated with profound weight loss. A 50-year-old Korean woman with poorly controlled type 2 diabetes complained of intractable pain in the trunk and lower extremities, and total body weight loss of 17% over a 6 month period. The patient's symptoms persisted after glucose control and various medications for neuropathic pain. A diagnosis of DNC was made based on the rapid onset of severe pain, polyneuropathy, and marked weight loss without evidence of end organ disease other than mild retinopathy, and the exclusion of other possible causes. Spontaneous improvement of the patient's neuropathic pain and gradual weight gain occurred after 6 months of supportive care. Since the original report of DNC, 31 cases have been published in the English-language literature; however, ours is the first reported case in Korea. Clinicians must be aware of this debilitating complication of diabetes because of its severity and rapid progression.
Full text:
Available
Health context:
SDG3 - Target 3.4 Reduce premature mortality due to noncommunicable diseases
Health problem:
Diabetes Mellitus
/
Endocrine System Diseases
/
Obesity
Database:
WPRIM (Western Pacific)
Main subject:
Pain, Intractable
/
Polyneuropathies
/
Body Weight
/
Cachexia
/
Weight Gain
/
Weight Loss
/
Lower Extremity
/
Diabetic Neuropathies
/
Diagnosis
/
Glucose
Type of study:
Diagnostic study
Limits:
Female
/
Humans
Country/Region as subject:
Asia
Language:
Korean
Journal:
Journal of Korean Diabetes
Year:
2015
Document type:
Article