Article

Diabetes is the leading cause of neuropathy worldwide and, due to the epidemic
progression of the affection, prevalence of diabetic neuropathies will increase
in the near future. Beside the typical diabetic neuropathy pattern and the common
entrapment neuropathies, several unusual clinical forms have been described with
either a symmetrical or an asymmetrical pattern. Treatment-induced neuropathy is
an acute sensory affection most commonly related to acute glycemic control. Pain
is debilitating and associated with vegetative dysfunction. Prevention is
important, as resolution is often incomplete. Several patterns or asymmetrical
neuropathies of inflammatory and ischemic origin were described long ago in the
lower limb. They are debilitating, most often painful and require steroid
treatment. Other patterns affecting the thoracolumbar region or the upper limbs
or involving a painless motor deficit must be identified as specific treatments
are sometimes needed. An association between diabetes and chronic inflammatory
demyelinating polyneuropathy has not been demonstrated but diagnosis may be
suggested due to the misleading low conduction velocities seen in classical
diabetic neuropathy. Like any other patient, the diabetic patient may present a
neuropathy unrelated to diabetes. To facilitate patient care, neurologists should
be aware of such clinical entities.
CI - Copyright (c) 2014 Elsevier Masson SAS. All rights reserved.

Langue : FRANCAIS