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Left Lower Arm Hemichorea: An Unusual Presentation of New-Onset Type 2 Diabetes
- Source :
- Clinical Diabetes : A Publication of the American Diabetes Association
- Publication Year :
- 2017
- Publisher :
- American Diabetes Association, 2017.
-
Abstract
- Diabetes mellitus is a growing public health concern and a chronic metabolic disease worldwide. The most common clinical manifestations at the onset of diabetes are blurry vision, weight loss, polyuria, polydipsia, and polyphagia. Neurological symptoms are rare but have been reported to be associated with initial presentation of type 2 diabetes, especially hyperglycemic hyperosmolar nonketotic syndrome (HHNS). Hemichorea-hemiballism (HCHB) is a spectrum of involuntary, continuous, nonpatterned movements involving one side of the body that is usually caused by a variety of hereditary neurological diseases, metabolic disorders, post-rheumatic fever sequelae, strokes, and other vascular diseases. Herein, we report the case of a man with left-side arm hemichorea (HC) who presented with HHNS and had resolution of his symptoms when his blood glucose was back under control. This case report highlights the association between HC and HHNS and reinforces the need to recognize HHNS promptly, especially in elderly patients who present with a neurological complaint. A 72-year-old Caucasian man presented with a 2-week history of progressive writhing movements of his left arm, with occasional sudden amplitude excursions, associated …
- Subjects :
- medicine.medical_specialty
Pediatrics
business.industry
Endocrinology, Diabetes and Metabolism
030209 endocrinology & metabolism
Type 2 diabetes
medicine.disease
Surgery
New onset
03 medical and health sciences
0302 clinical medicine
Polyphagia
Case Studies
Polyuria
Weight loss
Diabetes mellitus
Internal Medicine
medicine
medicine.symptom
Presentation (obstetrics)
business
Polydipsia
030217 neurology & neurosurgery
Subjects
Details
- Language :
- English
- ISSN :
- 19454953 and 08918929
- Volume :
- 35
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Clinical Diabetes : A Publication of the American Diabetes Association
- Accession number :
- edsair.doi.dedup.....03adeea8269b65fcfbce08df869127c0