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Painful Diabetic Neuropathy: A Morphometric Study
Abstract
We investigated three diabetic patients whose neuropathy was characterized by pain, hypesthesia, and autonomic dysfunction, with preservation of epicritic sensation and muscle-stretch reflexes. Two sural nerves were studied qualitatively and quantitatively, using teased fiber, light, and electron microscopical techniques. The most striking alterations were encountered in unmyelinated and small myelinated fibers. Unmyelinated nerve fiber sprouting was evident. The clinical features, which suggested small-fiber involvement, correlated with the pathological findings in biopsied cutaneous nerve. The balance of evidence indicates that the painful small-fiber neuropathy of diabetes is an axonal disorder.
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Citations
Cited by
The natural history of acute painful neuropathy in diabetes mellitus.
Archer, A. G., Watkins, P. J., Thomas, P. K., Sharma, A. K., & Payan, J. (1983) · Journal of Neurology, Neurosurgery & Psychiatry · doi:10.1136/jnnp.46.6.491 · Cited by 342
Diabetic peripheral neuropathic pain: clinical and quality-of-life issues
Argoff, C. E., Cole, B. E., Fishbain, D. A., & Irving, G. A. (2006) · Mayo Clinic Proceedings · doi:10.1016/s0025-6196(11)61474-2 · Cited by 256
Acute painful diabetic neuropathy precipitated by strict glycaemic control
Llewelyn, J. G., Thomas, P. K., Fonseca, V., King, R. H. M., & Dandona, P. (1986) · Acta Neuropathologica · doi:10.1007/bf00685978 · Cited by 121
Metadata
- Authors
- Brown, M. J.
- Venue
- Archives of Neurology
- Publisher
- American Medical Association (AMA)
- Published
- 1976-03-01
- Volume
- 33
- Issue
- 3
- Pages
- 164
- ISSN
- 0003-9942 (ISSN-L)
- OpenAlex
- W1989839330
- Cited by
- 242
- References
- 0
- FWCI
- 5.46
- Type
- journal article
- Language
- en
- Open access
- closed
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- Brown, M. J. (1976). Painful Diabetic Neuropathy: A Morphometric Study. Archives of Neurology. https://doi.org/10.1001/archneur.1976.00500030020004
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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