Subacute Upper Abdominal Pain Diagnosed as Bilateral Diabetic Thoracic Polyradiculopathy - A Case Report -
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Diabetic thoracic polyradiculopathy is characterized by abrupt onset and predominantly unilateral radicularpain in diabetic patients. It is not generally well-recognized, thus leads to misdiagnosis. A 61-year-oldfemale patient visited outpatient clinic for severe right flank and bilateral abdomen pain. The cause ofpain was not diagnosed, but uncontrolled blood sugar was revealed. Hence, she was admitted and severaldiagnostic studies were performed to rule out somatoform disorder, diabetic ketoacidosis, intra-abdominaldisorders and polyradiculopathy of inflammation, infection, autoimmune, and neoplastic causes. Then shewas consulted on further diagnostic workup and management of pain. We confirmed bilateral diabeticthoracic polyradiculopathy by electromyography and revealed that the pain was not originated fromspinal diseases by thorax spine magnetic resonance image. The pain was controlled with tramadol/acetaminophen without complication. We report this distinctive case with a brief review of the related literatures.
Abstract
Diabetic thoracic polyradiculopathy is characterized by abrupt onset and predominantly unilateral radicularpain in diabetic patients. It is not generally well-recognized, thus leads to misdiagnosis. A 61-year-oldfemale patient visited outpatient clinic for severe right flank and bilateral abdomen pain. The cause ofpain was not diagnosed, but uncontrolled blood sugar was revealed. Hence, she was admitted and severaldiagnostic studies were performed to rule out somatoform disorder, diabetic ketoacidosis, intra-abdominaldisorders and polyradiculopathy of inflammation, infection, autoimmune, and neoplastic causes. Then shewas consulted on further diagnostic workup and management of pain. We confirmed bilateral diabeticthoracic polyradiculopathy by electromyography and revealed that the pain was not originated fromspinal diseases by thorax spine magnetic resonance image. The pain was controlled with tramadol/acetaminophen without complication. We report this distinctive case with a brief review of the related literatures.
참고문헌 (10)
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