| The Correlation between Spondyloarthropathy and Peripheral Neuropathy in Chronic Renal Failure Patients Undergoing Hemodialysis. |
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Seok, Hyun , Lee, Hyuk Jin , Kim, Sang Hyun , Kim, Jun Lae , Lee, Hyuk , Kim, Jin Kook , Choi, Soo Jung , Park, Moo Yong |
1Department of Physical Medicine and Rehabilitation, Soonchunhyang University College of Medicine, Korea. a120264@gmail.com
2Department of Internal Medicine, Soonchunhyang University College of Medicine, Korea. |
| 혈액 투석중인 척추 통증 환자의 척추관절병증과 말초신경병증의 연관성 |
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석현, 이혁진, 김상현, 김준래, 이혁, 김진국1, 최수정1, 박무용1 |
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순천향대학교 의과대학 재활의학교실, 내과학교실1 |
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| Abstract |
Objective
To investigate the relationship between spondyloarthropathy and peripheral neuropathy in spinal pain patient undergoing hemodialysis due to chronic renal failure.
Method
Subjects were 60 patients complaining posterior neck or back pain, undergoing regular hemodialysis for chronic renal failure. They were divided into two groups according to the radiologic findings: spondyloarthropathy group (SAG, n=28) and no-spondyloarthropathy group (NSAG, n=32). Nerve conduction studies of extremities, simple spinal radiologic examination and bone mineral density at the lumbar spine were taken.
Results
Electrodiagnostic study revealed 26 patients (43%) had carpal tunnel syndrome, 32 (53%) had ulnar neuropathy, and 32 (53%) had peripheral polyneuropathy. Carpal tunnel syndrome was more frequent in SAG, but other neuropathic fingings, bone mineral density and duration of hemodialysis were not different between two groups.
Conclusion
Nerve conduction study could be useful to screen the peripheral neuropathy in patients undergoing hemodialysis due to chronic renal failure. If they complained spinal pain, and diagnosed as spondyloarthropathy by radiologic examination, we might need to do electrodiagnostic study for early detection and treatment of carpal tunnel syndrome. (J Korean Acad Rehab Med 2009; 33: 72-76) |
| Key Words:
Neuropathy, Hemodialysis, Spondyloarthropathy, Chronic renal failure |
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