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Case Reports in Neurological Medicine
Volume 2013 (2013), Article ID 974085, 3 pages
http://dx.doi.org/10.1155/2013/974085
Case Report

Not Just Another Cause of Dyspnea: Common Complaint Leads to a Rare Diagnosis

1Department of Internal Medicine, Mercer University School of Medicine, 707 Pine Street, Macon, GA 31201, USA
2Division of Immunology, Elmezzi School of Molecular Medicine, North Shore-LIJ Health System, Manhasset, NY 11030, USA
3Department of Internal Medicine, Kingsbrook Jewish Medical Center, Brooklyn, NY 11203, USA
4Department of Internal Medicine, Wyckoff Heights Medical Center, Brooklyn, NY 11237, USA

Received 25 January 2013; Accepted 3 March 2013

Academic Editors: Ö. Ateş and Y. Iwasaki

Copyright © 2013 Hemant Goyal et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A 62-year-old man with past medical history of type 2 diabetes mellitus (DM-2) and hypertension presented with progressive shortness of breath since three months. He was diagnosed with diabetic polyradiculopathy with diaphragmatic involvement and was started on intravenous immunoglobulin (IVIg) therapy. Rapid improvement was seen as evidenced by increased vital capacity and other pulmonary function parameters. Considering the patient’s positive response to intravenous immunoglobulins (IVIg), this case strengthens the fact that diaphragmatic involvement in Type 2 Diabetes Mellitus can be a part of focal or polyneuropathy and that the pathogenesis is immune mediated.