scholarly journals Stiff Man Syndrome: A Diagnostic Dilemma in a Young Female with Diabetes Mellitus and Thyroiditis

2014 ◽  
Vol 7 ◽  
pp. CCRep.S16941 ◽  
Author(s):  
Hilary Enuh ◽  
Michael Park ◽  
Arjun Ghodasara ◽  
Edward Arsura ◽  
Jay Nfonoyim

Stiff Person Syndrome (SPS), is a very rare neuroimmunologic disorder characterized by progressive muscle pain, rigidity, stiffness, and spasms. It can be very debilitating if misdiagnosed or not recognized in time. Herein we discuss a case of a female in her 20s who presented with an unsteady gait, lower extremity weakness, persistent leg pain, and stiffness few weeks after uncomplicated childbirth. She has type 1 diabetes mellitus (DM) and was diagnosed with thyroiditis in the course of her illness. The triad of thyroiditis, DM, and stiffness with normal neuroimaging in a young female patient is an unusual occurrence.

2016 ◽  
Author(s):  
Antonio F Oliveira Filho ◽  
Rossana C Almeida ◽  
Eveline M C Brito ◽  
Adriana B Nunes

2018 ◽  
Author(s):  
Maria Florencia Luchtenberg ◽  
Ismael Capel ◽  
Isabel Mazarico ◽  
Albert Cano ◽  
Lara Albert ◽  
...  

The Lancet ◽  
2000 ◽  
Vol 356 (9223) ◽  
pp. 31-35 ◽  
Author(s):  
Tobias Lohmann ◽  
Mohammed Hawa ◽  
R David G Leslie ◽  
Russell Lane ◽  
Jean Picard ◽  
...  

Diabetes ◽  
2021 ◽  
Vol 70 (Supplement 1) ◽  
pp. 169-LB
Author(s):  
CÁTIA A. ARAÚJO ◽  
CARLA BAPTISTA ◽  
ISABEL PAIVA ◽  
ANA MORGADINHO

2019 ◽  
Vol 12 (3) ◽  
pp. e228524
Author(s):  
Kalliopi Azariadis ◽  
Nikolaos K Gatselis ◽  
George K Koukoulis ◽  
Georgios N Dalekos

Glycogenic hepatopathy (GH) is a rare complication of poorly controlled type 1 diabetes mellitus (T1DM). We present a 19-year-old woman with T1DM and autoimmune thyroiditis who admitted to our department because of abrupt onset intermittent abdominal pain in the right upper quadrant accompanied by laboratory evidence of acute anicteric hepatitis. Physical examination revealed significant hepatomegaly but the common imagining studies were negative. Following exclusion of common causes of acute hepatitis and because of the presence of smooth muscle antibodies in a young female patient with already established two autoimmune diseases, a liver biopsy was performed in order to exclude the potential presence of autoimmune hepatitis. However, liver histology showed typical findings of GH. Intense treatment targeting strict glycemic control resulted in normalisation of liver biochemistry. This case underlines that GH should be considered as a rare cause of acute hepatitis in T1DM patients with poor glycemic control.


Sign in / Sign up

Export Citation Format

Share Document