Open AccessAcute painful diabetic neuropathy: an uncommon, remittent type of acute distal small fibre neuropathy
Author(s) -
Christel Tran,
Jan Philippé,
François Ochsner,
Thierry Küntzer,
André Truffert
Publication year - 2015
Publication title -
swiss medical weekly
Language(s) - English
Resource type - Journals
eISSN - 1424-7860
pISSN - 1424-3997
DOI - 10.4414/smw.2015.14131
Subject(s) - medicine , polyneuropathy , diabetic neuropathy , neuropathic pain , diabetes mellitus , nerve biopsy , microangiopathy , peripheral neuropathy , sensation , surgery , type 2 diabetes , orthostatic vital signs , anesthesia , endocrinology , biology , neuroscience , blood pressure
Acute painful diabetic neuropathy (APDN) is a distinctive diabetic polyneuropathy and consists of two subtypes: treatment-induced neuropathy (TIN) and diabetic neuropathic cachexia (DNC). The characteristics of APDN are (1.) the small-fibre involvement, (2.) occurrence paradoxically after short-term achievement of good glycaemia control, (3.) intense pain sensation and (4.) eventual recovery. In the face of current recommendations to achieve quickly glycaemic targets, it appears necessary to recognise and understand this neuropathy
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