DKA with negative DM-autoantibodies, complicated by GBS and RESLES: a case report and literature review

糖尿病酮症酸中毒(DKA)伴糖尿病自身抗体阴性,并发格林-巴利综合征(GBS)和复发性大疱性表皮松解症(RESLES):病例报告及文献综述

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Abstract

Guillain-Barré syndrome (GBS) is an autoimmune-mediated disorder characterized by acute, multifocal peripheral neuropathies, typically triggered by infections, autoimmune diseases, or immunosuppressive therapies. In this report, we describe a patient newly diagnosed with diabetes mellitus (DM) and diabetic ketoacidosis (DKA), who presented with negative insulin-related autoantibodies and no identifiable infectious etiology. It is suggested that DKA may independently contribute to the development of GBS. Additionally, DKA can lead to the reversible splenial lesion syndrome (RESLES). We present a case of GBS with atypical features consistent with the acute motor axonal neuropathy (AMAN) variant.

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