什么地方会呢? 探索小纤维神经病变中的特征
Dennis Kool1,2, Janneke G J Hoeijmakers1,2, Catharina G Faber1,2
1Mental Health and Neuroscience Research Institute, Maastricht University, Maastricht, the Netherlands.
Journal of the peripheral nervous system : JPNS
|June 25, 2025
概括
是小纤维神经病变 (SFN) 的常见症状,经常感觉到四肢,特别是在晚上. 这种的模式可能有助于诊断SFN.
科学领域:
- 神经学 神经学
- 皮肤病学 皮肤病学
- 临床研究 临床研究
背景情况:
- 慢性 () 是一种普遍的皮肤症状.
- 小纤维神经病变 (SFN) 涉及小神经纤维,与慢性有关.
- 之前的研究表明,在SFN患者中,的发病率有所不同 (63%-68%),没有明确的模式.
研究的目的:
- 在大量SFN患者中描述的临床特征.
- 为了识别与SFN相关的明显的图案.
主要方法:
- 1415名患者填写了症状问卷 (2016年5月至2022年8月).
- 83%的参与者使用Besta标准被诊断出患有SFN.
- 对的特征和分布进行探索性分析.
主要成果:
- 66%的SFN患者报告了,被描述为,刺痛或刺.
- 主要发生在晚上 (98%的患者).
- 局限于远端四肢 (腿,脚>50%),背部 (25%) 和脸部 (27%),不同于典型的神经病痛的疼痛分布.
结论:
- 是SFN中常见和多样化的症状,与神经病痛疼痛分布不同.
- ,特别是手和脚,可能是SFN的诊断指标.
- 需要对SFN的机制和诊断实用性的进一步研究.
相关概念视频
Accessory Structures of the Skin: Hair and Hair Follicles
2.7K
Hair and hair follicles are integral components of the integumentary system. Hair is a filamentous structure composed mainly of a protein called keratin. It is found on the surface of the skin throughout the body, except for areas such as the palms of the hands and soles of the feet.
Hair is a keratinous filament growing out of the epidermis. It is primarily made of dead, keratinized cells. Hair strands originate at the epidermal penetration called the hair follicle. The hair shaft is the part...
Hair is a keratinous filament growing out of the epidermis. It is primarily made of dead, keratinized cells. Hair strands originate at the epidermal penetration called the hair follicle. The hair shaft is the part...
2.7K
Local Anesthetics: Differential Sensitivity of Nerve Fibers
952
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...
952
Papillary Dermis
3.5K
Dermis
The dermis might be considered the "core" of the integumentary system, as distinct from the epidermis and hypodermis. It contains blood and lymph vessels, nerves, and other structures, such as hair follicles and sweat glands. The dermis is made of two layers of connective tissue that comprise an interconnected mesh of elastin and collagenous fibers, produced by fibroblasts.
Papillary Layer
The papillary layer is made of loose, areolar connective tissue, which means the collagen...
The dermis might be considered the "core" of the integumentary system, as distinct from the epidermis and hypodermis. It contains blood and lymph vessels, nerves, and other structures, such as hair follicles and sweat glands. The dermis is made of two layers of connective tissue that comprise an interconnected mesh of elastin and collagenous fibers, produced by fibroblasts.
Papillary Layer
The papillary layer is made of loose, areolar connective tissue, which means the collagen...
3.5K
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
39
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...
39
Sensory Functions of the Skin
5.9K
The skin is the largest organ of the human body and plays a crucial role in our sensory perception. It contains a vast network of sensory receptors that contribute to the skin's protective function by perceiving physical, biological, and environmental cues and generating relevant responses.
There are two main categories of receptors on the skin: capsulated and non-capsulated. The non-capsulated ones are mainly the pain receptors. The capsulated ones can be further categorized based on the...
There are two main categories of receptors on the skin: capsulated and non-capsulated. The non-capsulated ones are mainly the pain receptors. The capsulated ones can be further categorized based on the...
5.9K
Characteristics of Dry Friction
689
Dry friction occurs when two solid surfaces slide against each other without any lubrication or fluid present. It causes resistance when pushing objects along a surface, like a gardener pushing a wheelbarrow. The force applied to move the cart causes dry friction between the wheel and the ground.
Before the wheelbarrow starts moving, the static frictional force acts tangentially to the contact surface, opposing the force that is about to induce the motion. This frictional force prevents the...
Before the wheelbarrow starts moving, the static frictional force acts tangentially to the contact surface, opposing the force that is about to induce the motion. This frictional force prevents the...
689


