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Case report
Diabetic thoracic radiculopathy: a case of a young woman with clinical improvement following immunotherapy
  1. Alfonsa C Taiello1,
  2. Vincenzo La Bella2 and
  3. Rossella Spataro1
  1. 1IRCCS Centro Neurolesi Bonino Pulejo, Palermo, Sicilia, Italy
  2. 2Dipartimento di Biomedicina Sperimentale, Neuroscienze e Diagnostica Avanzata, Università di Palermo, Palermo, Italy
  1. Correspondence to Professor Vincenzo La Bella; vincenzo.labella{at}


Thoracic radiculopathy is a rare cause of thoracic-abdominal or abdominal pain in subjects with poorly controlled diabetes. We present a case of a young woman with type I diabetes and a severe abdominal pain in both lower quadrants. An extensive diagnostic gastroenterological and gynaecological workup did not disclose abnormalities. Electromyography revealed an initial polyneuropathy and significant neurogenic abnormalities in the T10-T12 paravertebral muscles. Following the hypothesis that the radiculopathy-related abdominal pain might have an immuno-mediated pathogenesis, the patient underwent a complex trial of immunotherapy, which was accompanied by a sustained improvement over months to full recovery. This report would support the hypothesis that immune-mediated mechanisms are still active even months after onset of symptoms.

  • pain
  • neurology (drugs and medicines)
  • diabetes
  • peripheral nerve disease

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  • Contributors ACT and RS described the case and wrote the manuscript. VLB reviewed the case, edited the manuscript and made substantial changes.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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