Neuropathy in diabetes: not a knee-jerk diagnosis.
Neuropathic symptoms in patients with diabetes occur commonly and are most often a consequence of the diabetes. Up to 10% of patients with diabetes and neuropathy have an etiology other than diabetes as a cause of their nerve dysfunction. Herein we present a case of vasculitic neuropathy initially misdiagnosed as diabetic neuropathy that led to separate amputations of two toes. This case emphasizes the importance of considering alternative, potentially treatable, causes of peripheral neuropathy in patients with diabetes.
Rogers
Lee C
LC
Amputation Prevention Center, Broadlawns Medical Center, Des Moines, IA 50314, USA. Lee.C.Rogers@gmail.com
Bevilacqua
Nicholas J
NJ
Malik
Rayaz A
RA
Armstrong
David G
DG
D000328:Adult; D015703:Antigens, CD / Q000378:metabolism; D015214:Antigens, Differentiation, Myelomonocytic / Q000378:metabolism; D003929:Diabetic Neuropathies / Q000175:diagnosis*; D003937:Diagnosis, Differential; D006801:Humans; D007150:Immunohistochemistry; D017493:Leukocyte Common Antigens / Q000378:metabolism; D008297:Male; D009460:Neurologic Examination; D013497:Sural Nerve / Q000473:pathology; D014657:Vasculitis / Q000175:diagnosis*; D000097382:CD68 Molecule
D015703:Antigens, CD; D015214:Antigens, Differentiation, Myelomonocytic; D017493:Leukocyte Common Antigens; C067980:CD68 antigen, human; D000097382:CD68 Molecule