糖尿病性ニューロパチー

-3症例を中心に-

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Symptoms of diabetic neuropathy are variable, including peripheral neuropathic and myopathic symptoms and signs, as well defined and summarized by Ellenberg (1973). Three cases of diabetic neuropathy are described. In case 1 (41-year-old male), Adie pupil with symmetrical sensory polyneuropathy is observed. The Adie pupil is scarcely described in literature in contrast to Argyll Robertson pupil. In case 2 (66-year-old male), mixture of sensory and motor polyneuropathy and astasia-abasia are observed, the latter presenting diabetic pseudotabes. Pathogenesis of astasia-abasia, moreover, was also interpreted as due to muscular.asthenia (Ellenberg, 1968) or failure of neuro-muscular transmission (Miglietta et al, 1973). Typical diabetic ophthalmoplegia is observed in case 3 (50-year-old male).