Clinical and imaging associations for non-ketotic hyperglycemic chorea: a case-control study

BackgroundThe non-ketotic hyperglycemic chorea (NKHC) was a rare complication for patients with diabetes mellitus, but not been well studied. In the present research, we aimed to investigate the clinical and imaging characteristics of NKHC and explore the potential association.MethodsWe performed a...

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Main Authors: Zhuo-Yuan Liang, Zhi-Hao Lu, Jian-Feng Qu, Yang-Kun Chen
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-12-01
Series:Frontiers in Endocrinology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fendo.2023.1323942/full
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author Zhuo-Yuan Liang
Zhuo-Yuan Liang
Zhi-Hao Lu
Zhi-Hao Lu
Jian-Feng Qu
Jian-Feng Qu
Yang-Kun Chen
Yang-Kun Chen
author_facet Zhuo-Yuan Liang
Zhuo-Yuan Liang
Zhi-Hao Lu
Zhi-Hao Lu
Jian-Feng Qu
Jian-Feng Qu
Yang-Kun Chen
Yang-Kun Chen
author_sort Zhuo-Yuan Liang
collection DOAJ
description BackgroundThe non-ketotic hyperglycemic chorea (NKHC) was a rare complication for patients with diabetes mellitus, but not been well studied. In the present research, we aimed to investigate the clinical and imaging characteristics of NKHC and explore the potential association.MethodsWe performed a case-control study with patients diagnosed as NKHC. The patients with group of NKHC were retrospectively recruited, while the matched group were set to screened patients with diabetes mellitus but no NKHC at a 1:3 ratio. The clinical and imaging data were collected for all the participants of the two groups. Firstly, Correlation analysis was conducted to test the difference of all the variables between the NKHC group and matched group. Then, the putative associated factors for NKHC were further identified.ResultsEleven men and 9 women with NKHC and 60 matched participants were analyzed. The mean age of the NKHC group was 68.5 ± 14.9 years. Participants with NKHC were more likely to have a higher glycosylated hemoglobin (HbA1c) level (13 ± 2.82 vs. 10.57 ± 2.71, P<0.001), and a higher frequency of renal dysfunction (estimated glomerular filtration rates <60 ml/min/1.73m2) (55% vs. 20%, P=0.005). Logistic regression analyses showed that both higher HbA1c and renal dysfunction were significantly correlated with NKHC.ConclusionA higher value of HbA1c and renal dysfunction may be associated with the occurrence of NKHC.
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spelling doaj.art-8057d4d87c2644c9994cd4b74117e3432023-12-20T09:03:55ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922023-12-011410.3389/fendo.2023.13239421323942Clinical and imaging associations for non-ketotic hyperglycemic chorea: a case-control studyZhuo-Yuan Liang0Zhuo-Yuan Liang1Zhi-Hao Lu2Zhi-Hao Lu3Jian-Feng Qu4Jian-Feng Qu5Yang-Kun Chen6Yang-Kun Chen7Department of Neurology, The Tenth Affiliated Hospital of Southern Medical University (Dongguan People’s Hospital), Dongguan, Guangdong, ChinaIntelligent Brain Imaging and Brain Function Laboratory (Dongguan Key Laboratory), Dongguan People’s Hospital, Dongguan, Guangdong, ChinaDepartment of Neurology, The Tenth Affiliated Hospital of Southern Medical University (Dongguan People’s Hospital), Dongguan, Guangdong, ChinaIntelligent Brain Imaging and Brain Function Laboratory (Dongguan Key Laboratory), Dongguan People’s Hospital, Dongguan, Guangdong, ChinaDepartment of Neurology, The Tenth Affiliated Hospital of Southern Medical University (Dongguan People’s Hospital), Dongguan, Guangdong, ChinaIntelligent Brain Imaging and Brain Function Laboratory (Dongguan Key Laboratory), Dongguan People’s Hospital, Dongguan, Guangdong, ChinaDepartment of Neurology, The Tenth Affiliated Hospital of Southern Medical University (Dongguan People’s Hospital), Dongguan, Guangdong, ChinaIntelligent Brain Imaging and Brain Function Laboratory (Dongguan Key Laboratory), Dongguan People’s Hospital, Dongguan, Guangdong, ChinaBackgroundThe non-ketotic hyperglycemic chorea (NKHC) was a rare complication for patients with diabetes mellitus, but not been well studied. In the present research, we aimed to investigate the clinical and imaging characteristics of NKHC and explore the potential association.MethodsWe performed a case-control study with patients diagnosed as NKHC. The patients with group of NKHC were retrospectively recruited, while the matched group were set to screened patients with diabetes mellitus but no NKHC at a 1:3 ratio. The clinical and imaging data were collected for all the participants of the two groups. Firstly, Correlation analysis was conducted to test the difference of all the variables between the NKHC group and matched group. Then, the putative associated factors for NKHC were further identified.ResultsEleven men and 9 women with NKHC and 60 matched participants were analyzed. The mean age of the NKHC group was 68.5 ± 14.9 years. Participants with NKHC were more likely to have a higher glycosylated hemoglobin (HbA1c) level (13 ± 2.82 vs. 10.57 ± 2.71, P<0.001), and a higher frequency of renal dysfunction (estimated glomerular filtration rates <60 ml/min/1.73m2) (55% vs. 20%, P=0.005). Logistic regression analyses showed that both higher HbA1c and renal dysfunction were significantly correlated with NKHC.ConclusionA higher value of HbA1c and renal dysfunction may be associated with the occurrence of NKHC.https://www.frontiersin.org/articles/10.3389/fendo.2023.1323942/fullnon-ketotic hyperglycemic choreadiabetes mellituscase-control studyrenal dysfunctionassociation
spellingShingle Zhuo-Yuan Liang
Zhuo-Yuan Liang
Zhi-Hao Lu
Zhi-Hao Lu
Jian-Feng Qu
Jian-Feng Qu
Yang-Kun Chen
Yang-Kun Chen
Clinical and imaging associations for non-ketotic hyperglycemic chorea: a case-control study
Frontiers in Endocrinology
non-ketotic hyperglycemic chorea
diabetes mellitus
case-control study
renal dysfunction
association
title Clinical and imaging associations for non-ketotic hyperglycemic chorea: a case-control study
title_full Clinical and imaging associations for non-ketotic hyperglycemic chorea: a case-control study
title_fullStr Clinical and imaging associations for non-ketotic hyperglycemic chorea: a case-control study
title_full_unstemmed Clinical and imaging associations for non-ketotic hyperglycemic chorea: a case-control study
title_short Clinical and imaging associations for non-ketotic hyperglycemic chorea: a case-control study
title_sort clinical and imaging associations for non ketotic hyperglycemic chorea a case control study
topic non-ketotic hyperglycemic chorea
diabetes mellitus
case-control study
renal dysfunction
association
url https://www.frontiersin.org/articles/10.3389/fendo.2023.1323942/full
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