MAX ELLENBERG, M.D., F.A.C.P.
Neuropathy occurring in association with diabetes mellitus presents many obscure features. The etiology, pathology and therapy are essentially unknown, and the diagnosis itself is one of exclusion and beset with many pitfalls.1 One of the few areas in this perplexing field that has won wide acceptance by many leading authorities is that the neuropathy follows a prolonged period of poor diabetic control.2-6 This view, however, is inconsistent with recorded observations of neuropathy actually preceding or accompanying the onset of any clinical manifestations of diabetes.
Diabetic neuropathy antedating the clinical appearance of diabetes mellitus has been recorded, frequently as an incidental
ELLENBERG M. DIABETIC NEUROPATHY PRESENTING AS THE INITIAL CLINICAL MANIFESTATION OF DIABETES*. Ann Intern Med. 1958;49:620–631. doi: https://doi.org/10.7326/0003-4819-49-3-620
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Published: Ann Intern Med. 1958;49(3):620-631.
Cardiology, Coronary Risk Factors, Diabetes, Endocrine and Metabolism, Neurology.
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