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Question: From Newark, Delaware, USA: My 15 year old son (diabetic since 4 years old) has extreme thigh pain. He has had 2 MRI'S, X-ray's, and a bone scan. Could this be neuropathy? Answer: Neuropathy with pain is really very uncommon indeed in young diabetics even when they have a long history of poor control, although there is an entity called 'Acute painful neuropathy in diabetes mellitus' which seems to occur in men who have recently lost a lot of weight; but which is predominantly in the lower part of the leg and largely unaccompanied by other neurological evidence of nerve involvement. In these circumstances I would want to be sure that this pain is not a reflection of stress, perhaps some event at school or home, perhaps a general weariness with having to cope with diabetes appropriate in a teenager, or perhaps even an oblique request to move to an insulin pump. The best person to start to try to evaluate and disentangle such a problem would be the Medical Social Worker in your son's Diabetes Care Team. Of course there are other causes of limb pain; but it sounds as though these have been diligently excluded. DOB DTQ-19990923144949 Original posting 21 Dec 1999 Posted to Complications

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