临床误诊误治2019，Vol.32Issue(3)：9-12,4.DOI:10.3969/j.issn.1002-3429.2019.03.003
误诊为神经病变的八例糖尿病骨质疏松临床分析
Clinical Analysis of 8 Cases of Diabetic Osteoporosis Misdiagnosed as Neuropathy
摘要
Abstract
Objective To analyze the causes of misdiagnosis of diabetic osteoporosis (DO) as neuropathy, in order to reduce the misdiagnosis rate and improve the level of clinical diagnosis and treatment. Methods Clinical data of 8 patients with DO misdiagnosed as neuropathy admitted to our hospital from January 2016 to December 2017 were retrospectively analyzed. Results In this group, the duration of misdiagnosis was 2-16 months. Three patients were misdiagnosed as multiple peripheral neuritis, 2 as autonomic nerve dysfunction, 1 as ulnar nerve neuralgia in left upper extremity, 1 as ulnar nerve neuralgia in right upper extremity, and 1 as right sciatica. There was no improvement after the corresponding treatment. All the patients underwent further serum calcium and phosphorus test and bone mineral density test, therefore, DO was confirmed. After symptomatic treatment such as blood sugar control, calcium supplementation and pain relief, their conditions were improved and they were discharged from hospital. Conclusion Due to atypical clinical symptoms, the doctors should strengthen the understanding and vigilance of DO, so as to reduce or avoid misdiagnosis.关键词
骨质疏松/糖尿病/误诊/糖尿病神经病变Key words
Osteoporosis/Diabetes mellitus/Misdiagnosis/Diabetic neuropathies分类
医药卫生引用本文复制引用
谢红,孙卫东,胡楠..误诊为神经病变的八例糖尿病骨质疏松临床分析[J].临床误诊误治,2019,32(3):9-12,4.基金项目
四川省卫生厅科研基金资助项目(130142) （130142）
