New diagnostic tests for diabetic distal symmetric polyneuropathy
- PMID: 19896871
- DOI: 10.1016/j.jdiacomp.2009.09.006
New diagnostic tests for diabetic distal symmetric polyneuropathy
Abstract
Neuropathy needs to be diagnosed early to prevent complications, such as neuropathic pain or the diabetic foot. It is obvious that diagnosis of neuropathy needs to be improved. New peripheral nerve function tests that appear to facilitate diagnosis are now emerging. This review outlines the new tests that have been proposed for the diagnosis of diabetic distal symmetric polyneuropathy, the commonest form of neuropathy in diabetes. New tests are classified into those mainly assessing large-fiber function (tactile circumferential discriminator, steel ball-bearing, and automated nerve conduction study) and those mainly assessing small-fiber function (NeuroQuick and Neuropad). Emerging tests are promising but must be evaluated in prospective studies. Moreover, their cost-effectiveness needs more careful appraisal. The clinician should, therefore, still rely on established modalities to diagnose neuropathy, but wider use of the new tests is expected in the near future.
Copyright © 2011 Elsevier Inc. All rights reserved.
Similar articles
-
Neuropad: evaluation of three cut-off points of sudomotor dysfunction for early detection of polyneuropathy in recently diagnosed diabetes.Diabet Med. 2011 Nov;28(11):1412-5. doi: 10.1111/j.1464-5491.2011.03345.x. Diabet Med. 2011. PMID: 21658119
-
[Diabetic somatic polyneuropathy. Pathogenesis, clinical manifestations and therapeutic concepts].Fortschr Neurol Psychiatr. 2000 Jun;68(6):278-88. doi: 10.1055/s-2000-11535. Fortschr Neurol Psychiatr. 2000. PMID: 10923253 Review. German.
-
The Italian multicentre study on the prevalence of distal symmetric polyneuropathy: correlation between clinical variables and nerve conduction parameters. Italian Diabetic Neuropathy Committee.Electroencephalogr Clin Neurophysiol Suppl. 1999;50:546-52. Electroencephalogr Clin Neurophysiol Suppl. 1999. PMID: 10689507 No abstract available.
-
Validation of a novel screening device (NeuroQuick) for quantitative assessment of small nerve fiber dysfunction as an early feature of diabetic polyneuropathy.Diabetes Care. 2005 May;28(5):1169-74. doi: 10.2337/diacare.28.5.1169. Diabetes Care. 2005. PMID: 15855584 Clinical Trial.
-
[Examination of tactile disorders in diabetic patients and cooperation with a neurologist].Vnitr Lek. 2007 May;53(5):489-94. Vnitr Lek. 2007. PMID: 17642430 Review. Czech.
Cited by
-
Long-Term Complications after Surgical or Medical Treatment of Predominantly Forefoot Diabetic Foot Osteomyelitis: 1 Year Follow Up.J Clin Med. 2021 May 1;10(9):1943. doi: 10.3390/jcm10091943. J Clin Med. 2021. PMID: 34062728 Free PMC article.
-
Involvement of Cutaneous Sensory Corpuscles in Non-Painful and Painful Diabetic Neuropathy.J Clin Med. 2021 Oct 8;10(19):4609. doi: 10.3390/jcm10194609. J Clin Med. 2021. PMID: 34640627 Free PMC article.
-
Correlation Between the Severity of Diabetic Peripheral Polyneuropathy and Glycosylated Hemoglobin Levels: A Quantitative Study.Ann Rehabil Med. 2016 Apr;40(2):263-70. doi: 10.5535/arm.2016.40.2.263. Epub 2016 Apr 25. Ann Rehabil Med. 2016. PMID: 27152276 Free PMC article.
-
Deleterious Effects of Higher Body Mass Index on Subjective and Objective Measures of Chemotherapy-Induced Peripheral Neuropathy in Cancer Survivors.J Pain Symptom Manage. 2019 Aug;58(2):252-263. doi: 10.1016/j.jpainsymman.2019.04.029. Epub 2019 Apr 30. J Pain Symptom Manage. 2019. PMID: 31047960 Free PMC article.
-
Corneal confocal microscopy: Recent progress in the evaluation of diabetic neuropathy.J Diabetes Investig. 2015 Jul;6(4):381-9. doi: 10.1111/jdi.12335. Epub 2015 Mar 4. J Diabetes Investig. 2015. PMID: 26221515 Free PMC article. Review.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical
