Longstreth G F, Newcomer A D
Ann Intern Med. 1977 Feb;86(2):166-8. doi: 10.7326/0003-4819-86-2-166.
In diabetes mellitus, pain and weakness in a lower extremity can result from lumbosacral radiculopathy. However, abdominal pain caused by a similar type of thoracic nerve root disease is not generally recognized. Four diabetic patients with abdominal pain were studied. In none of the patients was the actual cause--radiculopathy--suspected until after extensive negative diagnostic investigation, which frequently included invasive procedures. Their clinical features were suggestive of malignant disease. Electromyographic examination revealed the correct diagnosis, and all four of the patients had a spontaneous and complete recovery.
在糖尿病中，下肢疼痛和无力可由腰骶神经根病引起。然而，由类似类型的胸神经根疾病引起的腹痛通常未被认识到。对4例腹痛的糖尿病患者进行了研究。在广泛的阴性诊断检查（通常包括侵入性检查）之后，才怀疑这4例患者的实际病因——神经根病。他们的临床特征提示为恶性疾病。肌电图检查揭示了正确的诊断，且所有4例患者均自发且完全康复。
