[Reversible long-term tachycardia and hypertension as a symptom of autonomic neuropathy in combination with sensorimotor polyneuropathy in a patient with newly discovered type 1 diabetic mellitus].
The case of 22 years old woman admitted with ketoacidotic coma and newly diagnosed insulin dependent diabetes mellitus is described. The signs of mixed sensoromotoric polyneuropathia in this patient have been discovered. After the correction of ketoacidotic hyperglycemic coma the significant tachycardia and hypertension with the abnormalities of diurnal rhythm with necessity of the intensive treatment persisted for the period of the several monthes. These changes we attributed to the significant dysfunction of the autonomic system. In the course of 1 year of good diabetes compensation the above mentionned hemodynamic changes subsided completely. In the same time the signs of mixed polyneuropatia and the incipient retinopathia disappeared. The causes of the described changes are discussed, mainly the importance of reversible microvascular changes.
Charvát
J
J
Interní klinika 2. lékarské fakulty Univerzity Karlovy a Fakultní nemocnice, Praha.
Kvapil
M
M
Kubátová
H
H
Vecer
J
J
D000328:Adult; D001342:Autonomic Nervous System Diseases / Q000150:complications / Q000175:diagnosis; D003922:Diabetes Mellitus, Type 1 / Q000150:complications / Q000175:diagnosis*; D003926:Diabetic Coma / Q000175:diagnosis; D016883:Diabetic Ketoacidosis / Q000150:complications; D003929:Diabetic Neuropathies / Q000150:complications / Q000175:diagnosis*; D005260:Female; D006801:Humans; D006973:Hypertension / Q000209:etiology*; D013610:Tachycardia / Q000209:etiology*