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The usefulness of ultrasonography for the early diagnosis of polyneuropathy in patients with type II diabetes mellitus
- Source :
- Asian Journal of Medical Sciences, Vol 15, Iss 5, Pp 233-237 (2024)
- Publication Year :
- 2024
- Publisher :
- Manipal College of Medical Sciences, Pokhara, 2024.
-
Abstract
- Background: Diabetic neuropathies, affecting over 50% of diabetes patients, present varied forms of polyneuropathy impacting somatic and autonomic nerves. Clinical assessments, laboratory findings, and nerve conduction studies (NCSs) aid in precise diagnosis, while recent technological advances highlight ultrasonography (US) as a promising, cost-effective diagnostic tool. Aims and Objectives: This study aims to assess the efficacy of US in early polyneuropathy diagnosis in type II diabetes, exploring its potential as an alternative to NCS. Materials and Methods: In this prospective observational study, we enrolled 30 adult patients with type II non-controlled diabetes and 30 age-matched controls, comprising 15 controlled diabetic patients and 15 normal individuals. The comprehensive assessments encompassed history-taking for diabetes duration, hypertension, and diabetic complications, along with clinical examinations and investigations involving nerve electrophysiology and US on one upper limb based on patient complaints. Results: Significant increases in the cross-sectional area (CSA) of the median nerve were observed in diabetic peripheral neuropathy groups compared to controls, with a P
- Subjects :
- ultrasonography
diabetic neuropathies
polyneuropathies
diabetes mellitus
Medicine
Subjects
Details
- Language :
- English
- ISSN :
- 24679100 and 20910576
- Volume :
- 15
- Issue :
- 5
- Database :
- Directory of Open Access Journals
- Journal :
- Asian Journal of Medical Sciences
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.9f7cbf440fd04280b36ae2596bfd457f
- Document Type :
- article
- Full Text :
- https://doi.org/10.3126/ajms.v15i5.62224