당뇨병성 신경병증 열화상 검사의 진단적 유용성

초록

Background : Diabetic neuropathy is one of the serious complication of diabetes mellitus and it can cause serious foot problems. These foot problems could be preventable if early detection method of diabetic neuropathy is established. Therefore, essential diagnostic tool is needed. The changes on electrophysiologic studies (EPS) may not be necessarily correlated with clinical neuropathy. Theater has attempted to confirm the thermography as an useful tool for detecting diabetic peripheral neuropathy. Methods : Author has studied 20 patients with diabetes visiting to department of family medicine of Korea University Hospital between December 1, 1998 and June, 30, 1999. All cases were evaluated on clinical cirteria. Furthermore, the EPS and thermography have been taken. The author investigated the results of thermography and the relation of the clinical diagnosis and EPS. Results : Among 20 cases, 12 (60.0%) cases have shown abnormality on EPS and 6 (30.0%) cases of them were also abnormal on clinical criteria, the other 8 (40.0%) cases were normal on EPS. Results of EPS were moderately related to clinical diagnosis. 10 (50.0%) cases have shown abnormality on thermography and 6 (30.0%) cases of them were also abnormal on clinical criteria, the other 10 (50.0%) cases were normal on thermography. Results of thermography were related to clinical diagnosis. Among 12 (60.0%) cases were abnormal on EPS, 9 (45.5%) cases also have shown abnormality on thermography. Among 8 (40.0%) cases were normal on EPS, 7 (35.0%) cases were also normal on thermography. Results of thermography were highly related to EPS. Conclusion : Thermography is a useful diagnostic tool in diabetic peripheral neuropathy.

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