title: Acute Painful Neuropathy in a Girl with Type 1 Diabetes: Long Term Follow-Up.
abstract: Acute Painful Diabetic Neuropathy (APDN) is a reversible neuropathy that occurs in patients with diabetes usually after a fast improvement in glycaemic control. The condition is extremely rare in children with Type 1 Diabetes (T1D). We describe a 12-year-old girl T1D who developed APDN shortly after diagnosis of T1D. Neurological examination and nerve conduction studies showed severe asymmetric lower limb sensorimotor neuropathy. She was treated with carbamazepine, benfotiamine (vitamin B1 analogue), and NSAID analgesics and showed complete recovery 9 months after the onset. The treating physicians should recognize and understand this entity in view of the current recommendations for quick achievement of glycaemic targets in T1D, the need to provide relief from severe pain and to lay emphasis on complete recovery.
authors.affiliation: Additional Professor, Department of Pediatrics, Postgraduate Institute of Medical Education and Research , Chandigarh, India .
authors.forename: Devi
authors.initials: D
authors.lastname: Dayal
authors.affiliation: Senior Resident, Department of Pediatrics, Postgraduate Institute of Medical Education and Research , Chandigarh, India .
authors.forename: Dhaarani
authors.initials: D
authors.lastname: Jayaraman
authors.affiliation: Associate Professor, Department of Pediatrics, Postgraduate Institute of Medical Education and Research , Chandigarh, India .
authors.forename: Naveen
authors.initials: N
authors.lastname: Sankhyan
authors.affiliation: Professor and Head, Department of Pediatrics, Chief, Pediatric Neurology and Neurodevelopment Unit, Postgraduate Institute of Medical Education and Research , Chandigarh, India .
authors.forename: Pratibha
authors.initials: P
authors.lastname: Singhi
keywords: Benfotiamine; Children; Glycaemic control; Insulin