Publication: Diagnosing peripheral neuropathy in South-East Asia: A focus on diabetic neuropathy
Issued Date
2020-01-01
Resource Type
ISSN
20401124
20401116
20401116
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2-s2.0-85085002278
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Mahidol University
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SCOPUS
Bibliographic Citation
Journal of Diabetes Investigation. (2020)
Suggested Citation
Rayaz A. Malik, Aimee Andag-Silva, Charungthai Dejthevaporn, Manfaluthy Hakim, Jasmine S. Koh, Rizaldy Pinzon, Norlela Sukor, Ka Sing Wong Diagnosing peripheral neuropathy in South-East Asia: A focus on diabetic neuropathy. Journal of Diabetes Investigation. (2020). doi:10.1111/jdi.13269 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/56330
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Title
Diagnosing peripheral neuropathy in South-East Asia: A focus on diabetic neuropathy
Other Contributor(s)
Qatar Foundation
University of Indonesia, RSUPN Dr. Cipto Mangunkusumo
National Neuroscience Institute of Singapore
Faculty of Medicine, Ramathibodi Hospital, Mahidol University
Chinese University of Hong Kong
Universiti Kebangsaan Malaysia
Salle University Medical and Health Sciences Institute
Duta Wacana Christian University
University of Indonesia, RSUPN Dr. Cipto Mangunkusumo
National Neuroscience Institute of Singapore
Faculty of Medicine, Ramathibodi Hospital, Mahidol University
Chinese University of Hong Kong
Universiti Kebangsaan Malaysia
Salle University Medical and Health Sciences Institute
Duta Wacana Christian University
Abstract
© 2020 The Authors. Journal of Diabetes Investigation published by Asian Association for the Study of Diabetes (AASD) and John Wiley & Sons Australia, Ltd Burning and stabbing pain in the feet and lower limbs can have a significant impact on the activities of daily living, including walking, climbing stairs and sleeping. Peripheral neuropathy in particular is often misdiagnosed or underdiagnosed because of a lack of awareness amongst both patients and physicians. Furthermore, crude screening tools, such as the 10-g monofilament, only detect advanced neuropathy and a normal test will lead to false reassurance of those with small fiber mediated painful neuropathy. The underestimation of peripheral neuropathy is highly prevalent in the South-East Asia region due to a lack of consensus guidance on routine screening and diagnostic pathways. Although neuropathy as a result of diabetes is the most common cause in the region, other causes due to infections (human immunodeficiency virus, hepatitis B or C virus), chronic inflammatory demyelinating polyneuropathy, drug-induced neuropathy (cancer chemotherapy, antiretrovirals and antituberculous drugs) and vitamin deficiencies (vitamin B1, B6, B12, D) should be actively excluded.