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Diagnostic validity of epidermal nerve fiber densities in painful sensory neuropathies.

Diagnostic validity of epidermal nerve fiber densities in painful sensory neuropathies. Research Abstract Details 

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  • Diagnostic validity of epidermal nerve fiber densities in painful sensory neuropathies. Abstract Text:

    eva Eva ,josef Josef ,ladislav dusekLadislav Dusek,klaus v toykaKlaus V Toyka,claudia sommerClaudia Sommer,eva Eva ,josef Josef ,ladislav dusekLadislav Dusek,klaus v toykaKlaus V Toyka,claudia sommerClaudia Sommer,

    In this prospective study, intraepidermal nerve fiber densities (IENFD) and subepidermal nerve plexus densities (SENPD) were quantified by immunostaining in skin punch biopsies from the distal calf in 99 patients with clinical symptoms of painful sensory neuropathy and from 37 age-matched healthy volunteers. The clinical diagnosis was based on history and abnormal thermal thresholds on quantitative sensory testing (QST). In patients with neuropathy, IENFD and SENPD were reduced to about 50% of controls. Elevated warm detection thresholds on QST correlated with IENFD but not with SENPD. Using receiver-operating characteristic (ROC) curve analysis of IENFD values, the diagnostic sensitivity for detecting neuropathy was 0.80 and the specificity 0.82. For SENPD, sensitivity was 0.81 and specificity 0.88. With ROC analysis of both IENFD and SENPD together, the diagnostic sensitivity was further improved to 0.92. The combined examination of IENFD and SENPD is a highly sensitive and specific diagnostic tool in patients suspected to suffer from painful sensory neuropathies but with normal values on clinical neurophysiological studies. Muscle Nerve, 2007.

    Diagnostic validity of epidermal nerve fiber densities in painful sensory neuropathies. Publishing Authors By Initials

    e E ,j J ,l dusekL Dusek,kv toykaKV Toyka,c sommerC Sommer,e E ,j J ,l dusekL Dusek,kv toykaKV Toyka,c sommerC Sommer,

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    Diagnostic validity of epidermal nerve fiber densities in painful sensory neuropathies. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: Muscle & nerve

    VOLUME: 37

    Page Numbers: 50-60

    Journal Abbreviation: Muscle Nerve

    ISSN: 0148-639X

    DAY: 24

    MONTH: Jan

    YEAR: 2008

    Diagnostic validity of epidermal nerve fiber densities in painful sensory neuropathies. Information

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    LANGUAGE: eng

    NlmUniqueID: 7803146

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    Grant and Affiliation Information for Diagnostic validity of epidermal nerve fiber densities in painful sensory neuropathies.

    AFFILIATION: Department of Neurology, University Hospital Brno, Jihlavska 20, 62500 Brno, Czech Republic.

    Country: United States

    United States Research PublicationUnited States Research Publication

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    MEDLINETA: Muscle Nerve

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