RT Book, Section
A1 Galgon, Healther
A1 Russel, Jacqueline
A1 Asante, Kwame
A1 Maitin, Ian B.
A2 Maitin, Ian B.
A2 Cruz, Ernesto
SR Print(0)
ID 1105129152
T1 Neuropathy
T2 CURRENT Diagnosis & Treatment: Physical Medicine & Rehabilitation
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 9780071793292
LK accessmedicine.mhmedical.com/content.aspx?aid=1105129152
RD 2024/04/24
AB Diabetes  mellitus  is  the  most  common  cause  of  peripheral  neuropathy  worldwide.  In  clinical  practice,  the  two  conditions  often  seem  to  be  synonymous:  more  than  half  of  all  patients  with  diabetes  have  neuropathy,  and  half  the  patients  with  neuropathy  have  diabetes.  Disease-related  changes  in  diabetic  individuals  with  neuropathy  cause  a  wide  range  of  presentations,  reflecting  acute  or  chronic  symptoms  in  a  variety  of  anatomic  locations,  such  as  skin,  nerve  root,  vasculature,  and  autonomic  nervous  system.  The  discussion  that  follows  focuses  on  three  characteristic  presentations:  distal  symmetric  polyneuropathy,  diabetic  amyotrophy,  and  diabetic  autonomic  neuropathy.  Characteristic  features  of  each  are  contrasted  in  Table  17–1.  Focal  mononeuropathy  caused  by  diabetes  produces  symptoms  similar  to  those  of  compressive  or  entrapment  neuropathies,  which  are  discussed  at  the  end  of  this  chapter.