THE PLACE OF SENSORY NEUROPATHY IN THE PATHOGENESIS OF CRITICAL LIMB ISCHEMIA IN DIABETIC PATIENTS

O.Y. Nechytaylo, V.M. Konovchuk
2017 Bukovinian Medical Herald  
In the article peculiarities of sensory neuropathy in 47 diabetic patients with and without surgical complications of the lower extremities have been studied. The simple clinical screening technique for diabetic neuropathy which included four tests: tactile and pain sensation, vibration perception, presence and level of Achilles reflex was used. Manifestations of neuropathy included the most common symptoms such as numbness, prickling, aching, decreased thermal sensation and burning.
more » ... burning. Approximately 75 % of all study subjects had sensory neuropathy (47,1 % patients without surgical complications and 88,9 % patients with complications in the lower extremities). The pathogenesis of critical limb ischemia in general is complex and includes impaired glycemic control, microcirculation deterioration and neuropathy. The study established that sensory neuropathy is one of the main causative factors in critical limb ischemia and development of diabetic foot syndrome.
doi:10.24061/2413-0737.xxi.2.82.2.2017.61 fatcat:qhukn4rptzhizbrsngttmjlb2m