Disseminated intravascular coagulation and severe peripheral neuropathy complicating ketoacidosis in a newly diagnosed diabetic child.
Disseminated intravascular coagulation is a very rare complication of diabetic ketoacidosis. Central nervous system palsy but not peripheral neuropathy has been reported in these patients. On the other hand, signs of peripheral neuropathy may also be present at the onset of diabetes, but they are usually reversible within a few days after correction of the metabolic derangement. We describe an unusual case of mononeuritis multiplex syndrome still present after 2 months of follow-up in a child with diabetic ketoacidosis complicated by disseminated intravascular coagulation at the onset of insulin-dependent diabetes. These neurological impairments may be consistent with functional neural lesions due to vasa nervorum thrombosis and prolonged ischaemia.
Bonfanti
R
R
Bognetti
E
E
Meschi
F
F
Medaglini
S
S
D'Angelo
A
A
Chiumello
G
G
D001794:Blood Pressure; D002648:Child; D003422:Critical Care; D003922:Diabetes Mellitus, Type 1 / Q000503:physiopathology* / Q000628:therapy; D016883:Diabetic Ketoacidosis / Q000150:complications*; D003929:Diabetic Neuropathies / Q000150:complications*; D004211:Disseminated Intravascular Coagulation / Q000150:complications*; D005500:Follow-Up Studies; D006801:Humans; D007328:Insulin / Q000627:therapeutic use; D008297:Male; D013997:Time Factors
D007328:Insulin