Pruritus induced self injury behavior: an overlooked risk factor for amputation in diabetic neuropathy?
Pruritus is a risk factor for self-injury behavior (SIB) in sensory polyneuropathies. Although diabetes patients have elevated risk for pruritus, there are no reports of SIB in diabetic neuropathy. We present the case of a diabetes patient with neuropathy, whose pruritus induced SIB, resulted in partial amputation of a toe.
Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA. Electronic address: david.dorfman@mssm.edu.
David
D
Dorfman
Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
Mary Catherine
MC
George
Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
Ronald
R
Tamler
Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
Julia
J
Lushing
Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
Alexandra
A
Nmashie
Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
David M
DM
Simpson
D000671:Amputation, Surgical; D003922:Diabetes Mellitus, Type 1 / Q000150:complications*; D017719:Diabetic Foot / Q000601:surgery*; D003929:Diabetic Neuropathies / Q000150:complications* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D011537:Pruritus / Q000150:complications* / Q000473:pathology; D012307:Risk Factors; D016728:Self-Injurious Behavior / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D014034:Toes / Q000601:surgery*
Diabetes; Neuropathy; Pruritus; Self-injury