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Acute hemichorea in a newly diagnosed type II diabetes patient: a diagnostic challenge in resource-limited setting: a case report

BACKGROUND: Chorea is a rare complication of uncontrolled type II diabetes. We report for the first time in Tanzania a case of type II diabetes presenting with a hyperglycaemia-induced hemichorea. CASE PRESENTATION: A 58-year-old Tanzanian chagga by tribe with a body mass index of 28 kg/m(2) and new...

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Autores principales: Ruhangisa, Flora, Stephen, Henry, Senkondo, Jacob, Mwasamwaja, Amos, Kanenda, Said, Mbarak, Saleh, Chamba, Nyasatu, Kilonzo, Kajiru, Howlett, William, Lyaruu, Isaack, Shao, Elichilia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4994197/
https://www.ncbi.nlm.nih.gov/pubmed/27549630
http://dx.doi.org/10.1186/s13104-016-2228-7
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author Ruhangisa, Flora
Stephen, Henry
Senkondo, Jacob
Mwasamwaja, Amos
Kanenda, Said
Mbarak, Saleh
Chamba, Nyasatu
Kilonzo, Kajiru
Howlett, William
Lyaruu, Isaack
Shao, Elichilia
author_facet Ruhangisa, Flora
Stephen, Henry
Senkondo, Jacob
Mwasamwaja, Amos
Kanenda, Said
Mbarak, Saleh
Chamba, Nyasatu
Kilonzo, Kajiru
Howlett, William
Lyaruu, Isaack
Shao, Elichilia
author_sort Ruhangisa, Flora
collection PubMed
description BACKGROUND: Chorea is a rare complication of uncontrolled type II diabetes. We report for the first time in Tanzania a case of type II diabetes presenting with a hyperglycaemia-induced hemichorea. CASE PRESENTATION: A 58-year-old Tanzanian chagga by tribe with a body mass index of 28 kg/m(2) and newly diagnosed type II diabetes presented with polydipsia and involuntary movements of the right upper limb for 4 days. His plasma glucose was 549 mg/dl and glycated haemoglobin was 18.9 %. His movements were exaggerated by attempts to use his right hand. The rest of his neurological assessment was unremarkable. Other laboratory findings including calcium were within the normal range. A computed tomography scan of the brain was essentially normal except for age-related atrophy. There was no significant ketonuria on urine dipstick testing. We treated the patient’s hyperglycaemia with intravenous insulin and the dystonia disappeared within 5 days. CONCLUSION: Hemichorea is among the rare complications of hyperglycaemia-induced involuntary movements. Hyperglycaemia should be considered as a differential diagnosis for patients with type II diabetes mellitus presenting with hemichorea upon clinical assessment.
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spelling pubmed-49941972016-08-24 Acute hemichorea in a newly diagnosed type II diabetes patient: a diagnostic challenge in resource-limited setting: a case report Ruhangisa, Flora Stephen, Henry Senkondo, Jacob Mwasamwaja, Amos Kanenda, Said Mbarak, Saleh Chamba, Nyasatu Kilonzo, Kajiru Howlett, William Lyaruu, Isaack Shao, Elichilia BMC Res Notes Case Report BACKGROUND: Chorea is a rare complication of uncontrolled type II diabetes. We report for the first time in Tanzania a case of type II diabetes presenting with a hyperglycaemia-induced hemichorea. CASE PRESENTATION: A 58-year-old Tanzanian chagga by tribe with a body mass index of 28 kg/m(2) and newly diagnosed type II diabetes presented with polydipsia and involuntary movements of the right upper limb for 4 days. His plasma glucose was 549 mg/dl and glycated haemoglobin was 18.9 %. His movements were exaggerated by attempts to use his right hand. The rest of his neurological assessment was unremarkable. Other laboratory findings including calcium were within the normal range. A computed tomography scan of the brain was essentially normal except for age-related atrophy. There was no significant ketonuria on urine dipstick testing. We treated the patient’s hyperglycaemia with intravenous insulin and the dystonia disappeared within 5 days. CONCLUSION: Hemichorea is among the rare complications of hyperglycaemia-induced involuntary movements. Hyperglycaemia should be considered as a differential diagnosis for patients with type II diabetes mellitus presenting with hemichorea upon clinical assessment. BioMed Central 2016-08-22 /pmc/articles/PMC4994197/ /pubmed/27549630 http://dx.doi.org/10.1186/s13104-016-2228-7 Text en © The Author(s) 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Ruhangisa, Flora
Stephen, Henry
Senkondo, Jacob
Mwasamwaja, Amos
Kanenda, Said
Mbarak, Saleh
Chamba, Nyasatu
Kilonzo, Kajiru
Howlett, William
Lyaruu, Isaack
Shao, Elichilia
Acute hemichorea in a newly diagnosed type II diabetes patient: a diagnostic challenge in resource-limited setting: a case report
title Acute hemichorea in a newly diagnosed type II diabetes patient: a diagnostic challenge in resource-limited setting: a case report
title_full Acute hemichorea in a newly diagnosed type II diabetes patient: a diagnostic challenge in resource-limited setting: a case report
title_fullStr Acute hemichorea in a newly diagnosed type II diabetes patient: a diagnostic challenge in resource-limited setting: a case report
title_full_unstemmed Acute hemichorea in a newly diagnosed type II diabetes patient: a diagnostic challenge in resource-limited setting: a case report
title_short Acute hemichorea in a newly diagnosed type II diabetes patient: a diagnostic challenge in resource-limited setting: a case report
title_sort acute hemichorea in a newly diagnosed type ii diabetes patient: a diagnostic challenge in resource-limited setting: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4994197/
https://www.ncbi.nlm.nih.gov/pubmed/27549630
http://dx.doi.org/10.1186/s13104-016-2228-7
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