Prueba diagnóstica de disfunción sudomotora en la detección precoz de la neuropatía diabética / Sudomotor dysfunction diagnostic test for early detection of diabetic neuropathy
Rev. méd. Chile
;
148(1): 54-59, Jan. 2020. tab, graf
Article
in Spanish
| LILACS
| ID: biblio-1094206
ABSTRACT
Background:
Sudomotor dysfunction may appear in early stages of diabetic neuropathy.Aim:
To evaluate the diagnostic capacity of the Neuropad test, based on the detection of sudomotor dysfunction, as an early indicator of diabetic neuropathy. Material andMethods:
In Forty-two type 2 diabetic patients, the Neuropad test was compared with the 10 g monofilament test (proposed in the technical orientation of diabetic foot of the Ministry of Health of Chile), deep and thermal sensitivity.Results:
The surface sensitivity assessed with a brush had a sensitivity and specificity of 18.8 and 100% respectively when compared with the 10 g monofilament. When compared with the Neuropad, the figures were 9 and 100%, respectively. Pain perception sensitivity and specificity were 13 and 100% respectively when compared with the 10 g monofilament. The figures were 6 and 100%, when compared with the Neuropad. Thermal discrimination had a sensitivity and specificity of 88 and 33% respectively when compared with the 10 g monofilament. The figures were 75 and 25% respectively when compared with the Neuropad. The deep sensitivity evaluated with a 128 Hz tuning fork had a sensitivity and specificity of 31 and 100% respectively when compared with the 10 g monofilament. The figures were 16 and 31% respectively when compared with the Neuropad. The Neuropad had a sensitivity and specificity of 94 and 29% respectively were compared with the 10 g monofilament.Conclusions:
Neuropad had a good diagnostic yield for the early detection of sudomotor dysfunction.
Full text:
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Index:
LILACS (Americas)
Main subject:
Diabetic Foot
/
Diabetes Mellitus, Type 2
/
Diabetic Neuropathies
Type of study:
Diagnostic study
/
Screening study
Limits:
Humans
Country/Region as subject:
South America
/
Chile
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
2020
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Chile Universidad Católica del Maule/CL
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