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Clinical and nerve conduction studies in female patients with diabetic dermopathy.
Acta Diabetol. 2008 Jun; 45(2):97-105.AD

Abstract

This study aims to assess the clinical and electrophysiological characteristics of diabetic polyneuropathy (PNP) in female patients. We investigated clinical and electrophysiological features in 175 female patients with diabetes mellitus to compare those with PNP only, diabetic dermopathy (DD), or diabetic foot (DF). Among clinical features, the loss of deep tendon reflexes, the presence of negative sensory symptoms, superficial sensory loss, and the loss of vibration sense were more common in DD patients than PNP patients. As compared with DD patients, the presence of skin atrophy, superficial and positive sensory symptoms were more common in DF patients. Neuropathic symptom and disability scores were significantly higher in DD and DF patients than PNP patients. In the electrophysiological studies, the only significant difference was observed in the mean distal latencies for ulnar nerves, which were longer in DD patients as compared with PNP patients, but similar between DD and DF patients. All other parameters failed to show significant difference among patients, though values for DD patients lied in between PNP and DF patients. Carpal tunnel syndrome was present in 45% of PNP patients, 63.8% of DD patients, and 50% of DF patients (P = 0.031). Our results suggest that female patients with diabetic dermopathy might have a more severe sensorial neuropathy than patients without these skin lesions.

Authors+Show Affiliations

Department of Neurology, Istanbul University Cerrahpasa Faculty of Medicine, 34098 Istanbul, Turkey.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18357406

Citation

Kiziltan, M E., and G Benbir. "Clinical and Nerve Conduction Studies in Female Patients With Diabetic Dermopathy." Acta Diabetologica, vol. 45, no. 2, 2008, pp. 97-105.
Kiziltan ME, Benbir G. Clinical and nerve conduction studies in female patients with diabetic dermopathy. Acta Diabetol. 2008;45(2):97-105.
Kiziltan, M. E., & Benbir, G. (2008). Clinical and nerve conduction studies in female patients with diabetic dermopathy. Acta Diabetologica, 45(2), 97-105. https://doi.org/10.1007/s00592-008-0031-1
Kiziltan ME, Benbir G. Clinical and Nerve Conduction Studies in Female Patients With Diabetic Dermopathy. Acta Diabetol. 2008;45(2):97-105. PubMed PMID: 18357406.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Clinical and nerve conduction studies in female patients with diabetic dermopathy. AU - Kiziltan,M E, AU - Benbir,G, PY - 2007/07/01/received PY - 2008/02/18/accepted PY - 2008/3/22/pubmed PY - 2008/11/19/medline PY - 2008/3/22/entrez SP - 97 EP - 105 JF - Acta diabetologica JO - Acta Diabetol VL - 45 IS - 2 N2 - This study aims to assess the clinical and electrophysiological characteristics of diabetic polyneuropathy (PNP) in female patients. We investigated clinical and electrophysiological features in 175 female patients with diabetes mellitus to compare those with PNP only, diabetic dermopathy (DD), or diabetic foot (DF). Among clinical features, the loss of deep tendon reflexes, the presence of negative sensory symptoms, superficial sensory loss, and the loss of vibration sense were more common in DD patients than PNP patients. As compared with DD patients, the presence of skin atrophy, superficial and positive sensory symptoms were more common in DF patients. Neuropathic symptom and disability scores were significantly higher in DD and DF patients than PNP patients. In the electrophysiological studies, the only significant difference was observed in the mean distal latencies for ulnar nerves, which were longer in DD patients as compared with PNP patients, but similar between DD and DF patients. All other parameters failed to show significant difference among patients, though values for DD patients lied in between PNP and DF patients. Carpal tunnel syndrome was present in 45% of PNP patients, 63.8% of DD patients, and 50% of DF patients (P = 0.031). Our results suggest that female patients with diabetic dermopathy might have a more severe sensorial neuropathy than patients without these skin lesions. SN - 0940-5429 UR - https://www.unboundmedicine.com/medline/citation/18357406/Clinical_and_nerve_conduction_studies_in_female_patients_with_diabetic_dermopathy_ L2 - https://dx.doi.org/10.1007/s00592-008-0031-1 DB - PRIME DP - Unbound Medicine ER -