Diabetic demyelinating neuropathy:a report of five cases

YANG Qin; et al

doi:10.13406/j.cnki.cyxb.2005.02.045

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Diabetic demyelinating neuropathy:a report of five cases

更新时间：2024-01-17

- Diabetic demyelinating neuropathy:a report of five cases
- Journal of Chongqing Medical University Issue 2, Pages: 315-317(2005)
- 作者机构：
  
  1. 重庆医科大学临床学院神经内科
  2. 重庆医科大学临床学院神经内科,重庆,400016
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2005.02.045
  CLC： R587.2
- Published：2005，
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[1]杨琴,杨军,李光勤.糖尿病炎性脱髓鞘性周围神经病——附5例报告[J].重庆医科大学学报,2005(02):315-317.

YANG Qin, et al. Diabetic demyelinating neuropathy:a report of five cases. [J]. Journal of Chongqing Medical University (2):315-317(2005)
[1]杨琴,杨军,李光勤.糖尿病炎性脱髓鞘性周围神经病——附5例报告[J].重庆医科大学学报,2005(02):315-317. DOI： 10.13406/j.cnki.cyxb.2005.02.045.

YANG Qin, et al. Diabetic demyelinating neuropathy:a report of five cases. [J]. Journal of Chongqing Medical University (2):315-317(2005) DOI： 10.13406/j.cnki.cyxb.2005.02.045.

摘要

目的:讨论糖尿病炎性脱髓鞘性周围神经病（DM -CIDP）的临床表现及诊断。方法:对5例DM -CIDP进行临床及辅助检查资料分析。结果:DM -CIDP好发于5 0岁以上糖尿病患者

表现为慢性或复发性对称性远、近端肢体无力和/或感觉障碍

伴有腱反射消失。其临床表现及电生理特点不易与特发性慢性炎性脱髓鞘性多发性神经病（I -CIDP）鉴别

对IVIgG、血浆置换及糖皮质激素治疗有效。结论:糖尿病炎性脱髓鞘周围神经病是糖尿病周围神经病中的一型

Abstract

Objective:To report the clinical characteristics and diagnoses of diabetic demyelinating neuropathy.Methods:Five cases were systematically studied based on the clinical observations and data from aided examination.Results:All the five patients with diabetes mellitus were more than 50 years old.The clinical manifestations included predominantly motor symmetric weakness

proximal and distal

associated with areflexia and a relapsing or a chronic progressive course.The five cases were indistinguishable from idiopathic chronic inflammatory demyelinating polyneuropathy(I-CIDP) in clinical picture and electrophysiology.They responded to glucocorticosteroid treatment

plasma exchange and intravenous immunoglobulin.Conclusion:Diabetic demyelinating polyneuropathy is one of several types of diabetic peripheral neuropathies.

关键词

糖尿病CIDPIVIgG血浆置换糖皮质激素

Keywords

diabetes mellitusChronic inflammatory demyelinating polyneuropathyIntravenous immunoglobulinplasma exchangeGlucocorticosteroid

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