Not Just Another Cause of Dyspnea: Common Complaint Leads to a Rare Diagnosis

A 62-year-old man with past medical history of type 2 diabetes mellitus (DM-2) and hypertension presented with progressive shortness of breath since three months. He was diagnosed with diabetic polyradiculopathy with diaphragmatic involvement and was started on intravenous immunoglobulin (IVIg) ther...

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Detalles Bibliográficos
Autores principales: Goyal, Hemant, Arora, Shitij, Duffoo, Frantz, Bhat, Utpal, Bhandari, Rekha, Rajupet, Sritha, Lwin, Kyaw Kyaw, Patel, Jigar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2013
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3638553/
https://www.ncbi.nlm.nih.gov/pubmed/23653873
http://dx.doi.org/10.1155/2013/974085
Descripción
Sumario:A 62-year-old man with past medical history of type 2 diabetes mellitus (DM-2) and hypertension presented with progressive shortness of breath since three months. He was diagnosed with diabetic polyradiculopathy with diaphragmatic involvement and was started on intravenous immunoglobulin (IVIg) therapy. Rapid improvement was seen as evidenced by increased vital capacity and other pulmonary function parameters. Considering the patient's positive response to intravenous immunoglobulins (IVIg), this case strengthens the fact that diaphragmatic involvement in Type 2 Diabetes Mellitus can be a part of focal or polyneuropathy and that the pathogenesis is immune mediated.

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