[Proximal diabetic neuropathy--basic clinical aspects].
Twenty-five patients with symptoms of proximal diabetic neuropathy were examined and treated according to a simple pattern. Among anamnestic data myalgia proved most important (100%), as well as its character and localization. Important symptoms include: the presence of type II diabetes (72%) or recent diabetes (28%), loss of body weight (64%), weakness of the lower extremities and psychic changes (68%). In the clinical picture pareses in the femoral area and buttocks with increasing atrophy of these muscles (100%) are in the foreground. Muscular pain on pressure and changes of reflexes L2-L4 (80%) are typical. As to auxiliary examinations, a decisive role is played by EMG examination which proves the presence of proximal neuropathy. Other auxiliary examinations do not confirm findings which are essential for the establishment of the diagnosis of proximal diabetic neuropathy and serve differential diagnostic purposes.
Ehler
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D000328:Adult; D000368:Aged; D003929:Diabetic Neuropathies / Q000473:pathology / Q000503:physiopathology; D004576:Electromyography; D006801:Humans; D008875:Middle Aged
Proximální diabetická neuropatie--základní klinický pohled.