Use of Semmes-Weinstein Monofilaments for Evaluating the Severity of Diabetic Neuropathy.
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Accession number;01A0497992
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| Title;Use of Semmes-Weinstein Monofilaments for Evaluating the Severity of Diabetic Neuropathy. |
| Author;
JIN YASUYUKI
(Kitasatodai I Naika)
KANAMORI AKIRA
(Kitasatodai I Naika)
FUJITA YOSHIKUNI
(Kitasatodai I Naika)
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Journal Title;Journal of the Japan Diabetic Society
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Journal Code:Z0279B
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ISSN:0021-437X
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VOL.44;NO.3;PAGE.209-216(2001)
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| Figure&Table&Reference;FIG.1, TBL.4, REF.12 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;We assessed the reliability of Semmes-Weinstein monofilaments for evaluating diabetic neuropathy in 150 patients with type 2 diabetes and 52 healthy subjects. The touch perception threshold (TPT) was measured at the plantar surface of the great toe using 3 sizes of monofilaments -4.17, 5.07, and 6.10 bending with 1, 10 and 100 g of force. The TPT did not exceed 4.17 (1 g) in 98% (51) of healthy subjects. The TPT of 11 of the type 2 diabetics was grade 6.10 (100 g), of 52 grade 5.07 (10 g), and of 87 grade 4.17 (1 g). TPT grades were strongly associated with other neurological functions, such as Achilles tendon reflex, vibration perception threshold, nerve conduction study, current perception threshold, and postural fall in blood pressure. At grade 4.17 (1 g), patients showed only slight abnormalities in other neurological tests and none had foot ulceration. At grade 5.07 (10 g), almost all patients had abnormalities in other neurological tests. At grade 6.10 (100 g) all patient had severe neuropathy and 90.9% had a history of foot ulceration. We thus conclude that TPT measurement by Semmes-Weinstein monofilaments is useful for evaluating the severity of diabetic neuropathy. (author abst.) |
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