Diabetic thoracic radiculopathy: A case of a young woman with clinical improvement following immunotherapy

Alfonsa C. Taiello, Vincenzo La Bella, Rossella Spataro

Research output: Contribution to journalArticlepeer-review

Abstract

Thoracic radiculopathy is a rare cause of thoracic-abdominal or abdominal pain in subjects with poorly controlled diabetes. We present a case of a young woman with type I diabetes and a severe abdominal pain in both lower quadrants. An extensive diagnostic gastroenterological and gynaecological workup did not disclose abnormalities. Electromyography revealed an initial polyneuropathy and significant neurogenic abnormalities in the T10-T12 paravertebral muscles. Following the hypothesis that the radiculopathy-related abdominal pain might have an immuno-mediated pathogenesis, the patient underwent a complex trial of immunotherapy, which was accompanied by a sustained improvement over months to full recovery. This report would support the hypothesis that immune-mediated mechanisms are still active even months after onset of symptoms.

Original languageEnglish
Article number236412
Pages (from-to)1-2
Number of pages2
JournalBMJ Case Reports
Volume13
Issue number12
DOIs
Publication statusPublished - Dec 12 2020

Keywords

  • diabetes
  • neurology (drugs and medicines)
  • pain
  • peripheral nerve disease

ASJC Scopus subject areas

  • Medicine(all)

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