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Detection of Sensory Neuropathy in Diabetic Patients Using 5.07/10g Monofilament

Author(s): Rezvan Talaee | Abbas Doroudgar | Seyyed Gholamabbas Muosavi | Nasrin Abdevali

Journal: Dermatology and Cosmetic
ISSN 2008-7470

Volume: 2;
Issue: 3;
Start page: 158;
Date: 2011;
Original page

Keywords: Diabetes Mellitus | Diabetic Sensory Neuropathy | Monofilament Test | Diabetic Foot Ulcer

Background and Aim: Diabetic neuropathy occurs in about 50% of individuals with long-standing type 1 and type 2 diabetes mellitus. The aim of the study was to detect sensory neuropathy in diabetic patients at risk for foot ulceration, using monofilament and neuropathic symptoms in Diabetes clinic of Kashan University of Medical Sciences from 2008 to 2010. Methods: Three-hundred and fifty-two diabetic patients were enrolled in this cross-sectional study. Firstly patients were surveyed with a questionnaire concerning their subjective symptoms. The neuropathic symptoms were assessed using a quantitative neuropathy symptom score. Then the patients were examined by 5.07/10g monofilament. Data description and analysis were performed by reporting mean ± standard deviations, proportions, odds ratios (OR) and 95% confidence interval (95% CI) and conducting chi square and kappa tests. Results: 15.6% of patients had sensory neuropathy using monofilament test. 19.4% of men and 14.3% of women had neuropathy (OR=1.4, P=0.24). The mean duration of diabetes in patients with neuropathy was longer than patients without neuropathy (9.96 vs 9.68 year, P>0.05). 72.7% of patients with history of foot ulcer had neuropathy (OR=16.6, P
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