最新Diabetic Painful Neuropathy - Diabetic Foot Society of India：糖尿病痛性神经病变的糖尿病足的印度社会-药学医学精品资料.ppt

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1、最新DiabeticPainfulNeuropathy-DiabeticFootSocietyofIndia：糖尿病痛性神经病变的糖尿病足的印度社会-药学医学精品资料DiabeticpainfulneuropathyThisisadefinitesubsetofdiabeticneuropathyandrequiresmoreattentionowingtoitspainfulcondition,disabilityandwidespectrumofclinicalsyndromeDiabeticpainfulneuropathy

2、Comprisesofclinicalsyndromeslikeacutepainfulneuropathy,chronicsensorimotorneuropathy,proximalpainfulsymmetricalmotorneuropathy,proximalpainfulasymmetricalmotorneuropathy(diabeticamyotrophy)painfuldiabeticexternalophthalmoplegia,treatmentinducedinsulinneuritis,hypoglyc

3、aemicneuritisandpainfulpainlessleg.Clinicaltypesofpainfuldiabeticneuropathy-1Althougharigidclassificationofpainfuldiabeticneuropathyisverydifficulttheymaybegroupedunderfollowingthreemajorcategories1.Symmetricaldistalpainfulpoly-neuropathies2.Proximalmotorneuropathies3

4、.FocalasymmetricalpainfulneuropathiesClinicaltypesofpainfuldiabeticneuropathy-2Symmetricaldistalpainfulpolineuropathiesmaybegroupedas1.Smallfibretype2.Mixedlargeandsmallfibretype3.Hypoglycaemicneuropathy/insulinneuritis4.Mixeddistalsensory-motorneuropathyClinicaltypes

5、ofpainfuldiabeticneuropathy-3Proximalmotorneuropathiescanbedividedintotwogroups1.Symmetricalproximalmotorneuropathy2.Asymmetricalproximalmotorneuropathy-diabeticamyotrophyFocalasymmetricneuropathies-11.Predominantlysensory:a)IntercostalNeuropathyb)Truncalneuropathyc)T

6、horaco-abdominalradiculopathyd)NeuropathyduetoinvolvementoflateralcutaneousnerveofthighFocalasymmetricneuropathies-2Predominantlymotor:MononeuritisormononeuritisMultiplexwhichmayinclude-a)Ocularneuropathyb)Femoralneuropathyc)Sciaticneuropathyd)MedianneuropathyDiabetic

7、mono-neuropathiesa)Isolatedandmultiplemononeuropathiesb)Cranialmoneuropathiesc)Proximalmotorneuropathiesd)TruncalpolyneuropathyDistalpolyneuropathiesa)Acutesensoryneuropathyb)Chronicsensorymotorneuropathiesc)Proximalmotorneuropathiesd)TruncalpolyneuropathySymmetricald

8、istalpolyneuropathies-1Smallfibretype:InsmallfibretypeneuropathyPainandparaesthesis,mostcommonlyofthelowerextremitiesarethec