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Diabetic Polyneuropathies: Update on Research Definition, Diagnostic Criteria and Estimation of Severity by Peter J. Dyck; James W. Albers; Henning Andersen; Joseph C. Arezzo; Geert‐Jan Biessels; Vera Bril; Eva L. Feldman; William J. Litchy; Peter C. O'Brien; James W. Russell; on behalf of The Toronto Expert Panel on Diabetic Neuropathy is a Medicine article available to read on EtoBox.
What is Diabetic Polyneuropathies: Update on Research Definition, Diagnostic Criteria and Estimation of Severity about?
## Abstract Prior to a joint meeting of the Neurodiab Association and International Symposium on Diabetic Neuropathy held in Toronto, Ontario, Canada, 13‐18 October 2009, Solomon Tesfaye, Sheffield, UK, convened a panel of neuromuscular experts to provide an update on polyneuropathies associated with diabetes (Toronto Consensus Panels on DPNs, 2009). Herein, we provide definitions of typical and atypical diabetic polyneuropathies (DPNs), diagnostic criteria, and approaches to diagnose sensorimotor polyneuropathy as well as to estimate severity. Diabetic sensorimotor polyneuropathy (DSPN), or typical DPN, usually develops on long‐standing hyperglycaemia, consequent metabolic derangements and microvessel alterations. It is frequently associated with microvessel retinal and kidney disease—but other causes must be excluded. By contrast, atypical DPNs are intercurrent painful and autonomic small‐fibre polyneuropathies. Recognizing that there is a need to detect and estimate severity of DSPN validly and reproducibly, we define subclinical DSPN using nerve conduction criteria and define possible, probable, and confirmed clinical levels of DSPN. For conduct of epidemiologic surveys and ran
Who reads Diabetic Polyneuropathies: Update on Research Definition, Diagnostic Criteria and Estimation of Severity?
It is typically read by researchers, students, and practitioners in Medicine.
- Author
- Peter J. Dyck; James W. Albers; Henning Andersen; Joseph C. Arezzo; Geert‐Jan Biessels; Vera Bril; Eva L. Feldman; William J. Litchy; Peter C. O'Brien; James W. Russell; on behalf of The Toronto Expert Panel on Diabetic Neuropathy
- Publisher
- John Wiley and Sons; Wiley (John Wiley & Sons); John Wiley & Sons Inc.; Wiley (ISSN 1520-7552)
- Published
- 2011
- Language
- EN
- Field
- Medicine (Health Sciences)