Chapter

Clinical features of diabetic peripheral and autonomic neuropathies

Solomon Tesfaye

in Diabetic Neuropathy

Published on behalf of Oxford University Press

ISBN: 9780199551064
Published online May 2011 | e-ISBN: 9780199607303 | DOI: http://dx.doi.org/10.1093/med/9780199551064.003.0003

Series: Oxford Diabetes Library

Clinical features of diabetic peripheral and autonomic neuropathies

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• Diabetic polyneuropathy encompasses a number of neuropathic syndromes, the commonest of which is chronic diabetic peripheral neuropathy (DPN). • DPN is associated with significant morbidity and mortality. • Clinical assessment must include a careful history, inquiring about sensory, autonomic, and motor symptoms. • Other possible causes for neuropathy should be excluded. • Peripheral neurological examination should include: inspection of the feet and legs, assessment of sensory modalities including the 10 g monofilament test and examination of ankle and knee reflexes. • Finally footwear should be inspected for poor fit, abnormal wear, and internal pressure areas or foreign bodies. • Cardiac autonomic neuropathy is a serious complication of diabetes that can result in sudden death. • Diabetic autonomic neuropathy has many manifestations.

Chapter.  2779 words.  Illustrated.

Subjects: Endocrinology and Diabetes

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