A Case Report on Artherosclerotic Disease Leading to Polyneuropathy: A Comprehensive Overview
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Polyneuropathy, Peripheral nerves, Neuromuscular disorder, Diabetes mellitus, macrovascular complications
Abstract
The objective is to describe an uncommon case of polyneuropathy, where the peripheral nerves weaken and cause numbness and burning pain in roughly the same place on both sides of the body.
In this report, a 57-year-old male patient was identified with type 2 diabetes mellitus as well as a neuromuscular illness with polyneuropathy. The patient had a history of gunshot wounds. The primary cause could be type -2 diabetes mellitus which turned out into diabetic neuropathy and possibly macrovascular complication as obstruction of arteries contributed to worsening the condition which gives a clear depiction of mixed causes. An arteriolar Doppler test was performed on the patient, and the report suggests diffuse narrowing with atherosclerotic wall thickening and calcified plaque thrombosis in the distal anterior tibial artery and dorsalis pedis which is the confirmatory test of the above cause. The distal left anterior tibial artery is completely blocked. The CT angiography of the bilateral lower limbs suggests the following: - Atherosclerotic disease affects the ileac and abdominal aorta, The patient got relief from the evidence-based symptomatic treatments, which include anticonvulsants (e.g., pregabalin, gabapentin),The patient should go for the surgical procedure as soon as possible to get relief from the condition.
The patient's showed a mild improvement by the medication prescribed to him and also certain non-pharmacological approaches like healthy diet and routine blood sugar checks assisted in the relief of patient’s condition. The surgical Procedure prescribed should be preferred by the patient for early recovery.
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