1例帕金森病患者左旋多巴-卡比多巴肠凝胶输注过程中感觉神经病变并发新生糖尿病

IF 0.4 Q4 CLINICAL NEUROLOGY Neurology and Clinical Neuroscience Pub Date : 2023-11-14 DOI:10.1111/ncn3.12785
Tatsuya Ueno, Masayuki Baba, Rie Haga, Akira Arai, Nobutaka Hattori, Masahiko Tomiyama
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引用次数: 0

摘要

左旋多巴-卡比多巴肠凝胶疗法(LCIG)是治疗晚期帕金森病的有效药物,但可引起周围神经病变。我们报告了一位39岁的男性患者,他患有lcigg相关的神经病变并新生糖尿病(DM),维生素B6和叶酸水平下降,同型半胱氨酸水平升高,在lcigg治疗2年多的时间里出现。医生应评估左旋多巴代谢相关维生素的水平,并监测LCIG开始前后周围神经病变(如糖尿病)的危险因素。
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Sensory neuropathy complicated with de novo diabetes mellitus during levodopa‐carbidopa intestinal gel infusion in a patient with Parkinson's disease: A case report
Abstract Levodopa‐carbidopa intestinal gel therapy (LCIG), an effective treatment for advanced Parkinson's disease, can cause peripheral neuropathy. We present a 39‐year‐old man with LCIG‐related neuropathy with de novo diabetes mellitus (DM), decreased vitamin B6 and folate levels, and elevated homocysteine levels that developed over 2 years of LCIG treatment. Physicians should assess levels of levodopa metabolism‐associated vitamins and monitor risk factors of peripheral neuropathy, such as DM, before and after LCIG initiation.
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