Neuropathy- Definition, Clinical features

 Neuropathy

Definition

  • Neuropathy can be defined as any disease of nerves and can include peripheral nerves, cranial nerves, and autonomic nerves.

  • The most common disease process seen with neuropathy is diabetes.

Diabetic neuropathy is a generic term or any diabetes mellitus related disorder of the peripheral no or autonomic nervous system for the cranial nerves.

Fig. 1: Diabetic neuropathy

Clinical presentation

  • The ulcer is usually located on the weight-bearing surface of the foot

  • Sensory neuropathy, if present;

    • Patient unable to sense pain and pressure

    • Risk of skin breakdown without patient awareness

    • Mechanical repetitive stresses are the most common positive factor of wounds

  • Motor neuropathy, if present:

    • Loss of intrinsic muscle

    • hammertoe, claw toe deformity is adding to the risk of breakdown and rubbing long shoes

    • Foot drop

  • Autonomic neuropathy, if present:

    • Decreased or absent sweat and oil production lead to dry, inelastic skin

    • Increased susceptibility to skin breakdown and injury

    • Callus formation

  • Dysvascular symptoms, if present:

    • Usually arterial disorder

    • Ischemia

    • Impaired healing time

    • Imperial transport of oxygen, antibiotics, and nutrition needed for healing.

Post a Comment

0 Comments