Clinical usefulness of the two-site Semmes-Weinstein monofilament test for detecting diabetic peripheral neuropathy

被引:0
作者
Lee, SY
Kim, HH
Choi, SH
Park, YS
Kim, YJ
Cho, BM
机构
[1] Pusan Natl Univ, Coll Med, Dept Family Med, Pusan 609735, South Korea
[2] St Lukes Hosp, Lipid & Diabet Res Ctr, Kansas City, MO 64111 USA
[3] Pusan Natl Univ, Coll Med, Dept Prevent Med, Pusan 609735, South Korea
关键词
diabetes mellitus; diabetic neuropathies; diabetic foot; diagnosis;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The present study was done to validate the two-site Semmes-Weinstein (SW) monofilament test in identifying patients at risk of lower-extremity complications in clinical setting. The SW monofilament test and nerve conduction study were conducted on type 2 diabetic patients (n=37) at Pusan National University Hospital in Korea. As the duration of diabetes mellitus was longer, neuropathy identified by nerve conduction study and complications of diabetes were more severe (p<0.01). The number of sites unable to perceive SW monofilament (p<0.001) was larger in patients with lower-extremity neuropathy symptoms than those without symptoms. Sensitivity and specificity at two sites (the third and fifth metatarsal head sites) were 93% and 100%, respectively. In conclusion, the two-site SW monofilament test was a sensitive, specific, simple, and inexpensive screening tool for identifying diabetic peripheral neuropathy in clinical setting.
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页码:103 / 107
页数:5
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