Two much Pain: A Patient with Painful Diabetic Neuropathy and Post Herpetic Neuralgia, a Case Report and ReviewTan GLC and Rosales RL*
Department of Neurology and Psychiatry, University of Santo Tomas, Manila, Philippines
- Corresponding Author:
- Rosales RL
Department of Neurology and Psychiatry, University of Santo Tomas
Manila, Philippines and Center for Neurodiagnostic and Therapeutic Services (CNS)
Metropolitan Medical Center, Manila, Philippines
E-mail: [email protected]
Received Date: March 30, 2016 Accepted Date: April 08, 2016 Published Date: April 18, 2016
Citation: Tan GLC, Rosales RL (2016) Two much Pain: A Patient with Painful Diabetic Neuropathy and Post Herpetic Neuralgia, a Case Report and Review. J Clin Diabetes Pract 1:106. doi:10.4172/jcdp.1000106
Copyright: © 2016 Tan GLC, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Contemporary data indicates that the prevalence of diabetes mellitus will increase by year 2030, where up to 50% develop neuropathy, and about a quarter will develop neuropathic pain. The purported immunocompromised diabetic state makes them also susceptible to various infections, for instance, herpes zoster infection. Presented in this report is a case of a 63 year old Filipino with painful diabetic neuropathy and who subsequently developed post herpetic neuralgia. A pain regimen with pregabalin initially at 150 mg/day ultimately reaching 600 mg/day reduced pains, but needed an augmentation with lidocaine patch (5%) application, and tramadol plus paracetamol fixed dose combination as rescue medication, for better control.