Prueba diagnóstica de disfunción sudomotora en la detección precoz de la neuropatía diabética

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 and Methods: In Forty-two type 2 diabetic pat...

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Autores principales:	Lorenzini,Nicolás, Díaz,Claudio, Quintana,Tamara
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2020
Materias:	Diabetic Neuropathies Sensitivity and Specificity Small Fiber Neuropathy Sweating
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000100054
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spelling	oai:scielo:S0034-988720200001000542020-04-02Prueba diagnóstica de disfunción sudomotora en la detección precoz de la neuropatía diabéticaLorenzini,NicolásDíaz,ClaudioQuintana,Tamara Diabetic Neuropathies Sensitivity and Specificity Small Fiber Neuropathy Sweating 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 and Methods: 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.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.148 n.1 20202020-01-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000100054es10.4067/S0034-98872020000100054
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Diabetic Neuropathies Sensitivity and Specificity Small Fiber Neuropathy Sweating
spellingShingle	Diabetic Neuropathies Sensitivity and Specificity Small Fiber Neuropathy Sweating Lorenzini,Nicolás Díaz,Claudio Quintana,Tamara Prueba diagnóstica de disfunción sudomotora en la detección precoz de la neuropatía diabética
description	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 and Methods: 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.
author	Lorenzini,Nicolás Díaz,Claudio Quintana,Tamara
author_facet	Lorenzini,Nicolás Díaz,Claudio Quintana,Tamara
author_sort	Lorenzini,Nicolás
title	Prueba diagnóstica de disfunción sudomotora en la detección precoz de la neuropatía diabética
title_short	Prueba diagnóstica de disfunción sudomotora en la detección precoz de la neuropatía diabética
title_full	Prueba diagnóstica de disfunción sudomotora en la detección precoz de la neuropatía diabética
title_fullStr	Prueba diagnóstica de disfunción sudomotora en la detección precoz de la neuropatía diabética
title_full_unstemmed	Prueba diagnóstica de disfunción sudomotora en la detección precoz de la neuropatía diabética
title_sort	prueba diagnóstica de disfunción sudomotora en la detección precoz de la neuropatía diabética
publisher	Sociedad Médica de Santiago
publishDate	2020
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000100054
work_keys_str_mv	AT lorenzininicolas pruebadiagnosticadedisfuncionsudomotoraenladeteccionprecozdelaneuropatiadiabetica AT diazclaudio pruebadiagnosticadedisfuncionsudomotoraenladeteccionprecozdelaneuropatiadiabetica AT quintanatamara pruebadiagnosticadedisfuncionsudomotoraenladeteccionprecozdelaneuropatiadiabetica
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Prueba diagnóstica de disfunción sudomotora en la detección precoz de la neuropatía diabética

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