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Disseminated intravascular coagulation and severe peripheral neuropathy complicating ketoacidosis in a newly diagnosed diabetic child

Acta Diabetologica volume 31, pages 173–174 (1994)Cite this article

Abstract

Disseminated intravascular coagulation is a very rare complication of diabetic ketoacidosis. Central nervous system plasy but not peripheral neuropathy has been reported in these patients. On the other hand, signs of peripheral neuropathy may also be present at the onset of diabetes, but they are usually reversible within a few days after correction of the metabolic derangement. We describe an unusual case of mononeuritis multiplex syndrome still present after 2 months of follow-up in a child with diabetic ketoacidosis complicated by disseminated intravascular coagulation at the onset of insulin-dependent diabetes. These neurological impairments may be consistent with functional neural lesions due to vasa nervorum thrombosis and prolonged ischaemia.

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Authors and Affiliations

  1. Department of Paediatrics, Scientific Institute H San Raffaele, University of Milan, Italy

    R. Bonfanti, E. Bognetti, F. Meschi & G. Chiumello

  2. Department of Neurology, Scientific Institute H San Raffaele, University of Milan, Italy

    S. Medaglini

  3. Coagulation Service, Scientific Institute H San Raffaele, University of Milan, Italy

    A. D'Angelo

Authors
  1. R. Bonfanti
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  2. E. Bognetti
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  3. F. Meschi
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  4. S. Medaglini
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  5. A. D'Angelo
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  6. G. Chiumello
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Bonfanti, R., Bognetti, E., Meschi, F. et al. Disseminated intravascular coagulation and severe peripheral neuropathy complicating ketoacidosis in a newly diagnosed diabetic child. Acta Diabetol 31, 173–174 (1994). https://doi.org/10.1007/BF00570376

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  • DOI: https://doi.org/10.1007/BF00570376

Key words

  • Disseminated intravascular coagulation
  • Diabetic ketoacidosis
  • Peripheral neuropathy
  • Childhood diabetes