Transient autonomic neuropathy in an adolescent with insulin dependent diabetes mellitus.
A 15 year-old girl with insulin dependent diabetes mellitus of 11 years duration developed severe neuropathy involving the bladder and stomach. The bladder recovered after 2 months of intermittent catheterization. Metoclopramide relieved the gastric symptoms. Gastric emptying was normal after 2 further months of treatment. The neuropathy developed in spite of a mean HbA1c of 7.4% suggesting that factors in addition to glycemic control play a role in the development of the complications of insulin dependent diabetes mellitus.
Department of Pediatrics, University of Toronto, Canada.
A
A
Oduwole
M
M
Marcon
V
V
Bril
R M
RM
Ehrlich
D000293:Adolescent; D001342:Autonomic Nervous System Diseases / Q000150:complications / Q000503:physiopathology*; D003922:Diabetes Mellitus, Type 1 / Q000503:physiopathology*; D003929:Diabetic Neuropathies / Q000503:physiopathology*; D005260:Female; D005767:Gastrointestinal Diseases / Q000503:physiopathology; D006801:Humans; D001745:Urinary Bladder Diseases / Q000503:physiopathology