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UNA SENCILLA HERRAMIENTA DIAGNOSTICA PERMITE DETECTAR NEUROPATIA PERIFERICA Y PIE DIABETICO

UNA SENCILLA HERRAMIENTA DIAGNOSTICA PERMITE DETECTAR NEUROPATIA PERIFERICA Y PIE DIABETICO

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La prueba visual Neuropad es una herramienta sencilla para evaluar la disfunción sudomotora y la neuropatía diabética, que permite el autoexamen del paciente.
koliaki9.jpg Autor:
Chrysi Koliaki
Columnista Experto de SIIC

Institución:
University of Athens Medical School


Artículos publicados por Chrysi Koliaki
Coautores
Ioanna Kolovou* Nicholas Katsilambros** Nicholas Tentolouris*** 
MD, University of Athens Medical School, Atenas, Grecia*
Professor of Internal Medicine and Diabetes, MD, PhD, FACP, University of Athens Medical School, Atenas, Grecia**
Assistant Professor, MD, PhD, University of Athens Medical School, Atenas, Grecia***
Recepción del artículo
20 de Enero, 2010
Aprobación
11 de Febrero, 2010
Primera edición
2 de Septiembre, 2010
Segunda edición, ampliada y corregida
7 de Junio, 2021

Resumen
La neuropatía es una complicación común de la diabetes y es una causa importante de morbilidad y de pie diabético. El daño de los nervios simpáticos periféricos da como resultado una disfunción sudomotora. Recientemente se presentó la prueba visual Neuropad como una herramienta diagnóstica novedosa para evaluar la función sudomotora. Entre las ventajas de Neuropad, podemos mencionar su amplia disponibilidad, el bajo costo, y la facilidad para llevarla a cabo. Además, muestra una alta precisión en el diagnóstico de neuropatía periférica. La prueba Neuropad demostró ser adecuada para el autoexamen. Más aun, datos recientes sugieren que una respuesta anormal de Neuropad se correlaciona con la ulceración en los pies. En este artículo, ofrecemos una revisión concisa de los datos publicados respecto de la utilidad clínica de Neuropad, haciendo hincapié en la posibilidad de un autoexamen confiable con esta prueba que amplía el espectro de su aplicabilidad y permite simplificar sustancialmente el procedimiento de pesquisa, lo que posibilita su aplicación clínica generalizada.

Palabras clave
prueba visual Neuropad, neuropatía periférica diabética, pesquisa, disfunción sudomotora, autoexamen, ulceración de los pies


Artículo completo

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Abstract
Neuropathy is a common complication of diabetes and is a major cause of morbidity and foot-related problems. Damage of the sympathetic nerves in the periphery results in sudomotor dysfunction. The visual test Neuropad has been recently introduced as a novel diagnostic tool for the assessment of sudomotor function. Advantages of Neuropad consist in its wide availability, low cost, and easiness to perform. Besides, it displays a high accuracy for the diagnosis of peripheral neuropathy. The Neuropad test has been proven to be suitable for self-exanimation. Furthermore, recent data suggest that an abnormal Neuropad response correlates with foot ulceration. In the present article, we provide a concise review of published data regarding the clinical utility of Neuropad, with emphasis on the possibility for reliable self-examination with Neuropad, which broadens the spectrum of Neuropad applicability and provides a substantial simplification of the screening procedure, allowing its widespread clinical use.

Key words
visual test Neuropad, diabetic peripheral neuropathy, screening, sudomotor dysfunction, self-examination, foot ulceration


Full text
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Clasificación en siicsalud
Artículos originales > Expertos del Mundo >
página   www.siicsalud.com/des/expertocompleto.php/

Especialidades
Principal: Diabetología
Relacionadas: Atención Primaria, Endocrinología y Metabolismo, Geriatría, Medicina Familiar, Medicina Interna, Neurología, Nutrición



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Enviar correspondencia a:
Chrysi Koliaki, University of Athens Medical School First Department of Propaedeutic Medicine, Laiko General Hospital, 115 27, 17 Ag. Thoma Street, Atenas, Grecia
Patrocinio y reconocimiento:
No declarado.
Bibliografía del artículo


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