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Diabetic distal symmetric polyneuropathy: Role of physical examination in screening
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Rokhsareh عقیلی   , Mohammad E خمسه , Hamid Reza برادران , Seyed Mojtaba عقیلی , Mojtaba ملک |
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Abstract: (26355 Views) |
| Introduction: The aim of this study was to determine the frequency of distal symmetric
polyneuropathy (DSP) and the role of physical examination for neuropathy
diagnosis in subjects with type 2 diabetes mellitus. Materials and Methods: A
cross-sectional study was carried out from 2009 to 2010. A total of 107
patients with type 2 diabetes were evaluated using the Michigan Neuropathy
Screening Instrument (MNSI). MNSI consists of two parts: History and physical assessment.
History was focused on positive (burning, tingling) and negative
(numbness) sensory symptoms, cramps and muscle weakness, foots ulcers or
cracks, and prior diagnoses of diabetic neuropathy by a physician. Physical assessment was
determined from foot appearance, ulceration, ankle reflexes, vibratory
perception and monofilament testing. Results: A
total of 72 women and 35 men were participated in this study. The frequency of
neuropathy diagnosed based on physical assessment was 78.5%. The mean age was
57.6 (± 10.2) and the mean duration of diabetes was 10.2 (± 7.3) years. Ankle
reflexes were not observed in both both foot in 67% of patients. Vibration
perception was absent in 25% of patients. Monofilament testing was normal in
86% of patients in both feet. Conclusion: The results showed a key role of physical
examination in diagnosis of DSP in diabetic patients. The high frequency of DSP
among diabetic patients demonstrated the
importance of annual screening, further evaluations, planning and management of
patients in diabetic foot clinics. However, considering the results of this study,
the sensitivity of monofilament test in screening of DSP is questionable. |
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| Keywords: Diabetes mellitus, Diabetic polyneuropathy, Physical examination, Screening |
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Full-Text [PDF 243 kb]
(3169 Downloads)
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Type of Study: Research |
Subject:
General
Received: 2011/12/2 | Accepted: 2013/04/8 | Published: 2013/04/8
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