Examination reveals decreased sensation to light touch, pin prick, and vibratory sensation in the feet extending to 7 cm below the knees symmetrically. You also notice lack of hair on his leg to the same level. Chest, abdomen, and upper extremities have normal sensation. His reflexes are 1+ in the upper extremities and quadriceps with absent Achilles bilaterally. The remainder of his neurological and general medical examination is unremarkable.
What is the most probable diagnosis?
Peripheral Neuropathy secondary to diabetes.
Case Discussion:
The peripheral nervous system connects the nerves from the brain and the spinal cord to the rest of the body. Any dysfunction or disease of theses peripheral nerves leads to a condition known as peripheral neuropathy.
A list of the causes of peripheral sensory neuropathy is given below:
1. Infectious causes:
- Syphilis
- Lyme disease
- Mycoplasma
- West Nile virus
- Leprosy
2. Nutritional causes:
- Vitamin B12 deficiency
- Thiamine (vitamin B1) deficiency
- Folic acid deficiency
- Vitamin B6 toxicity
- Celiac disease
3. Drugs:
- Metronidazole
- Isoniazid
- Phenytoin
- Thalidomide
4. Metabolic Causes:
- Diabetes
- Hypothyroidism
5. Toxic:
- Mercury
- Thallium
- Other heavy metals
- Alcohol
6. Miscellaneous
- Amyloid
- Paraneoplastic syndromes
- Mitochondrial diseases
Hello, my name is Betty. i was diagnosed of HIV virus 4 years back. Before then, i was dating this Derrick guy. we had something great going on. Our love life only lasted for 8 months. the sixth and seven month of our relationship, i began feeling very weak every now and then. But i never suspected anything until I kept on experiencing different symptoms like having sore throats, constant headache, body weakness e.t.c. I decided to go for a medical check up. I was tested HIV positive. when the doctor broke the news to me, it was as if my whole world had crumbled. it dawned on me then that Derrick has been lying to me. i was very mad to an extent i almost committed suicide. But there was nothing i could do, other than weep and weep. ever since then, i have been spending heavily on medications, going from one medical clinic or the other so I can look healthy. Though since i was a kid, i love herbs a lot. i take herbal tea with grandma while growing so i am quite familiar with herbs. early last year, i was on the internet and on a particular health blog, to check for herbal medication as alternative. I saw many comments and read many testimonies. Until i came across a particular testimony on how Dr.ugo cured a patient from herpes simplex virus using pure natural herbs. i reached out to the doctor because I also was thinking Herpes had no cure. I told him about my HIV status.He encouraged me not to panic that he will help me get my deliverance. he prepared some herbs and sent them to me. The herbs were in four 70ml bottles and I took them morning and night. i used as he directed, and in less than three weeks, i started having appetite to eat plenty of food and i gained back my strength. the fourth week,I consumed all the herbal meds. He encouraged me to go for a test which i did. This time, the result was negative. I quickly contacted the doctor and informed him of the news. I immediately asked him to prepare for Derrick too. He did and sent it. Today, me and Derrick are HIV free. All thanks goes to God Almighty for healing us through Dr.Ugo. if you are having any kind of sickness at all, Dr.Ugo is the right person to talk to and i assure you, you will be glad you did. His email: ugoherbalhome@gmail.com you can also write him on WhatsApp +2348104990619.
ReplyDelete