About: Painful or painless lower limb dysesthesias are highly predictive of peripheral neuropathy: Comparison of different diagnostic modalities     Goto   Sponge   NotDistinct   Permalink

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  • 42 patients were recruited prospectively and underwent a clinical examination,nerve conduction studies, quantitative sensory testing(QST)and skin biopsy at the dorsum of the foot.All patients had a correlate for their dysesthesias in at least one diagnostic modality.Most patients(>90%)had signs of small fiber loss or dysfunction.In about half of all patients large fibers were also affected.Nerve conduction studies were abnormal in 23/42 patients(54.8%).Cold or warm detection thresholds in QST were abnormal in 15/42(35.7%)patients.Decreased intraepidermal nerve fiber density(IENFD)was found in 37 patients(88.1%)including some patients with normal QST findings.Nearly all patients with pathological QST had a reduced IENFD,indicating a high positive predictive value(93%)of QST in screening for reduced IENFD as correlate for neuropathy.Therefore in all patients with lower limb dysesthesias of unknown origin,the non-invasive methods of NCS and QST should be used and potentially complemented by skin biopsy
  • 42 patients were recruited prospectively and underwent a clinical examination,nerve conduction studies, quantitative sensory testing(QST)and skin biopsy at the dorsum of the foot.All patients had a correlate for their dysesthesias in at least one diagnostic modality.Most patients(>90%)had signs of small fiber loss or dysfunction.In about half of all patients large fibers were also affected.Nerve conduction studies were abnormal in 23/42 patients(54.8%).Cold or warm detection thresholds in QST were abnormal in 15/42(35.7%)patients.Decreased intraepidermal nerve fiber density(IENFD)was found in 37 patients(88.1%)including some patients with normal QST findings.Nearly all patients with pathological QST had a reduced IENFD,indicating a high positive predictive value(93%)of QST in screening for reduced IENFD as correlate for neuropathy.Therefore in all patients with lower limb dysesthesias of unknown origin,the non-invasive methods of NCS and QST should be used and potentially complemented by skin biopsy (en)
Title
  • Painful or painless lower limb dysesthesias are highly predictive of peripheral neuropathy: Comparison of different diagnostic modalities
  • Painful or painless lower limb dysesthesias are highly predictive of peripheral neuropathy: Comparison of different diagnostic modalities (en)
skos:prefLabel
  • Painful or painless lower limb dysesthesias are highly predictive of peripheral neuropathy: Comparison of different diagnostic modalities
  • Painful or painless lower limb dysesthesias are highly predictive of peripheral neuropathy: Comparison of different diagnostic modalities (en)
skos:notation
  • RIV/65269705:_____/09:#0000803!RIV10-MZ0-65269705
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • V, Z(MSM0021622404)
http://linked.open...iv/cisloPeriodika
  • 7
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
http://linked.open.../riv/druhVysledku
http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
http://linked.open...dnocenehoVysledku
  • 332528
http://linked.open...ai/riv/idVysledku
  • RIV/65269705:_____/09:#0000803
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • dysesthesias; neuropathy; skin biopsy (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • GB - Spojené království Velké Británie a Severního Irska
http://linked.open...ontrolniKodProRIV
  • [DEDA6D22F626]
http://linked.open...i/riv/nazevZdroje
  • European Journal of Pain
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 13
http://linked.open...iv/tvurceVysledku
  • Vlčková-Moravcová, Eva
  • Scherens, A.
http://linked.open...ain/vavai/riv/wos
  • 000268384500006
http://linked.open...n/vavai/riv/zamer
issn
  • 1090-3801
number of pages
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