Journal of the Japan Diabetes Society
Online ISSN : 1881-588X
Print ISSN : 0021-437X
ISSN-L : 0021-437X
Diabetic Amyotrophy in San-in area in Japan
Toshihiko MiharaYukimasa Hirata
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1973 Volume 16 Issue 6 Pages 520-526

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Abstract
In diabetics, patients with diabetic amyotrophy might generally be rare in Japan. In fact, a few case reports had been presented previously. In San-in area the incidence of diabetic amyotrophy seems to be higher than in other areas. This area is located in the western part of Japan and faces to the Sea of Japan. Its weather is cold and moist in winter. In the period from October 1969 to January 1973, 511 diabetic patients were treated in our clinic. The results of our experience are as follows:
Among them, 5 cases (0.98%) had diabetic amyotrophy, showing the syndrome described by Garland. There was no difference of incidence in both sexes. Among 299 males, diabetic amyotrophy was found in 3 (1.00%) and among 212 females in 2 (0.95%). The age of these 5 ranged from 48 to 70 (average 63.4). They all showed diabetic neuropathy and retinopathy.
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