小纤维神经病变 小纤维神经病变
Teresa Sevilla1, Lucía Galán Dávila2
1Unidad de Enfermedades Musculares, Departamento de Neurología, Hospital Universitario y Politécnico La Fe; Grupo de Investigación de Ataxia y Enfermedades Neuromusculares IISLAFE, Valencia, España; Departamento de Medicina, Universidad de Valencia University; Centro de Investigación Neurológica en Red de Enfermedades Raras (CIBERER), Instituto de Salud Carlos III, Madrid, España.
概括
小纤维神经病变 (SFN) 是一种常见的神经疾病,导致疼痛和自主功能障碍. 最近在SFN原因和遗传学方面的发现可能使得超越当前症状方法的更个性化治疗成为可能.
科学领域:
- 神经学 神经学
- 神经科学是一个神经科学.
- 遗传学 遗传学 是一个
背景情况:
- 小纤维神经病变 (SFN) 是一个频繁的神经咨询,影响至少每10万人中53人.
- 关键症状包括神经病变性疼痛和dysautonomic功能障碍.
- 诊断依赖于临床症状,检查,神经生理学测试和皮肤活检.
研究的目的:
- 要总结目前对小纤维神经病变的理解.
- 要突出最近在识别SFN原因方面取得的进展.
- 讨论对未来治疗策略的影响.
主要方法:
- 对SFN临床表现和诊断方法的审查.
- 分析最近关于SFN遗传和免疫相关原因的文献.
- 评估当前的症状治疗方法.
主要成果:
- SFN的特点是神经病痛和自主功能障碍.
- 新出现的原因包括通道突变和免疫因子,如TS-HDS,FGFR-3和plexin D1.1.
- 目前的治疗主要是症状性,经常通过试错的方式使用抗抑郁药和抗药.
结论:
- 了解SFN病因,包括遗传和免疫因素的进展至关重要.
- 这种知识有助于改善表型和基因型的定义.
- 对SFN的个性化治疗方法变得越来越可行.
相关概念视频
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
3
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...
3
Local Anesthetics: Differential Sensitivity of Nerve Fibers
790
Local anesthetics (LAs) block the sodium channels of nerve trunks, sensory nerve endings, and neuromuscular junctions. Although LAs can block all kinds of nerves, the sensitivity of nerve fibers differs according to nerve types and structures. LAs are known to block myelinated fibers faster than unmyelinated ones. Also, they block pain or sensory neurons at low concentrations without affecting the motor neurons involved in muscle contractions. This helps relieve labor pain without affecting the...
790
Peripheral Artery Disease I: Introduction
3
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 but also impacts other areas, such as the arms, thereby impairing overall circulation and organ function.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty deposits inside the arterial...
3


