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Journal of the Korean Academy of Rehabilitation Medicine 1998;22(1):162-168.
Clinical Evaluation of Diabetic Neuropahty.
Kim, Sei Joo , Kim, Woo Sub , Lee, Sang Heon
Department of Rehabilitation Medicine, College of Medicine, Korea University.
당뇨병성 신경병증의 임상 증상
김세주, 김우섭, 이상헌
고려대학교 의과대학 재활의학교실
Abstract

The purpose of this study was to evaluate clinical features of diabetic neuropahty. The clinical symptoms and signs were investigated in individuals with diabetes mellitus by a questionnaire of 17 items about motor, sensory, and autonomic symptoms and signs, and then electrodiagnostic study was performed.

One hundred and one patients with diabetes mellitus aged 31 to 88 years participated. The most frequent complaint was tingling sensation in the distal extremities and the most frequent sign was decreased or absent ankle jerk. The least frequent symtom or sign was motor weakness. Eighty point two percent of patients showed electrodiagnostic abnormalities. Abnormal ankle jerk, tingling sensation, and paresthesia in patients with abnormal electrodiagnstic study were 60.5%, 58.0%, and 29.6%, respectively. Clinical diabetic neuropahty was diagnosed of the patients when both tingling sensation and decreased ankle jerk were present.

We conclude that clinical symptoms and signs of diabetes mellitus may be useful for diagnosis of diabetic neuropathy.

Key Words: Diabetes mellitus, Clinical evaluation, Neuropahty


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