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Related Concept Videos

Diabetic Neuropathy01:22

Diabetic Neuropathy

DefinitionDiabetic neuropathy is nerve damage caused by long-standing diabetes mellitus. It results directly from prolonged high blood sugar levels.PathophysiologyThe pathophysiology of diabetic neuropathy involves both metabolic and vascular disturbances triggered by chronic hyperglycemia.Metabolic injury: Elevated glucose levels activate the polyol pathway within nerve cells, leading to the accumulation of sorbitol and fructose. This increases oxidative stress, disrupts normal nerve...
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
Peripheral Artery Disease I: Introduction01:30

Peripheral Artery Disease I: Introduction

Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...
Diabetic Foot Ulcer01:31

Diabetic Foot Ulcer

Definition A diabetic foot ulcer (DFU) is a chronic, non-healing wound that develops in individuals with diabetes. It typically occurs on pressure-bearing areas such as the heel, metatarsal heads, or hallux, and carries a high risk of infection and amputation.Pathophysiology • The development of DFUs can be explained by four interconnected mechanisms: neuropathy, ischemia, infection, and impaired wound healing. • Neuropathy is the most common factor. Sensory neuropathy reduces pain perception,...
Diabetic Retinopathy01:27

Diabetic Retinopathy

DefinitionDiabetic retinopathy is a microvascular complication of diabetes affecting the retinal blood vessels.Risk FactorsDiabetic retinopathy is present in almost all individuals with type 1 diabetes and more than 60% of those with type 2 diabetes after two decades of disease.The risk increases with poor glycemic control, hypertension, dyslipidemia, smoking, pregnancy, and puberty.Although cataracts and glaucoma are also more frequent in people with diabetes, retinopathy remains the leading...
Diabetic Nephropathy01:28

Diabetic Nephropathy

Definition Diabetic nephropathy is a chronic kidney complication that results from prolonged hyperglycemia.Prevalence It is the most common cause of chronic kidney disease (CKD) and end-stage renal disease (ESRD) worldwide, affecting up to half of individuals with diabetes.Pathophysiology • Sustained hyperglycemia triggers multiple hemodynamic and metabolic changes in the kidney. • Early in the disease, increased renal blood flow and glomerular hyperfiltration occur due to afferent arteriolar...

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Three-dimensional Imaging and Analysis of Mitochondria within Human Intraepidermal Nerve Fibers
10:31

Three-dimensional Imaging and Analysis of Mitochondria within Human Intraepidermal Nerve Fibers

Published on: September 29, 2017

Porphyric neuropathy.

Cindy Shin-Yi Lin1, Susanna B Park, Arun V Krishnan

  • 1School of Medical Sciences, Faculty of Medicine, University of New South Wales, Sydney, Australia.

Handbook of Clinical Neurology
|August 13, 2013
PubMed
Summary
This summary is machine-generated.

Porphyric neuropathy, linked to acute hepatic porphyrias, presents diagnostic challenges. Research explores neurotoxicity mechanisms, focusing on porphyrin precursors and heme synthesis deficiencies.

Keywords:
acute intermittent porphyriahemeinward rectification (Ih)ischemianerve excitability

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Establishing a Mouse Model of a Pure Small Fiber Neuropathy with the Ultrapotent Agonist of Transient Receptor Potential Vanilloid Type 1
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Three-dimensional Imaging and Analysis of Mitochondria within Human Intraepidermal Nerve Fibers
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Published on: September 29, 2017

Establishing a Mouse Model of a Pure Small Fiber Neuropathy with the Ultrapotent Agonist of Transient Receptor Potential Vanilloid Type 1
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Published on: February 13, 2018

Area of Science:

  • Biochemistry
  • Neuroscience
  • Genetics

Background:

  • Porphyric neuropathy is a diagnostic challenge, often mistaken for other acute conditions.
  • Acute neurovisceral attacks in hepatic porphyrias are triggered by environmental factors like drugs, hormones, and diet.

Purpose of the Study:

  • To review the clinical, genetic, and pathophysiological aspects of acute hepatic porphyrias.
  • To discuss the mechanisms of neurotoxicity in porphyric neuropathy.

Main Methods:

  • Review of clinical manifestations, genetics, and pathophysiology.
  • Discussion of hypotheses on neurotoxicity mechanisms.
  • Reference to novel experimental models of porphyric neuropathy.

Main Results:

  • Acute hepatic porphyrias cause neurovisceral symptoms mimicking various medical and psychiatric conditions.
  • Environmental factors significantly influence the development of acute neurovisceral attacks.

Conclusions:

  • The precise cause of neurological symptoms in acute porphyrias is still under investigation.
  • Key hypotheses involve the toxicity of porphyrin precursors and insufficient heme synthesis.
  • Experimental models are crucial for understanding porphyric neuropathy.