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[Pain in diabetic neuropathy: psychosomatic aspects]
G R Galstyan1, M Y Drobizhev2, E V Surkova1
1Endocrinology Research Centre.
Summary
Diabetic neuropathy (DN), a common diabetes mellitus (DM) complication, often presents as reduced lower extremity sensation. However, some patients experience debilitating pain as the primary symptom.
Area of Science:
- Neurology
- Endocrinology
- Diabetology
Context:
- Diabetic neuropathy (DN) is a frequent complication of diabetes mellitus (DM).
- Distal symmetric DN affects approximately 30% of diabetic patients.
- Clinical presentation varies, with sensory loss or pain being primary symptoms.
Purpose:
- To summarize the clinical presentation of diabetic neuropathy.
- To highlight the prevalence and common forms of DN.
- To differentiate between sensory loss and pain as leading symptoms.
Summary:
- Diabetic neuropathy (DN) commonly affects individuals with diabetes mellitus (DM).
- The predominant form is distal symmetric DN, characterized by decreased or lost sensation in the lower extremities.
- A subset of patients presents with severe pain as the main symptom, impacting daily life.
Impact:
- Enhances understanding of DN's varied clinical manifestations.
- Informs diagnostic approaches by recognizing pain as a key symptom in some cases.
- Provides a concise overview for clinicians and researchers in diabetes care and neurology.
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