title: HIV peripheral neuropathy and foot care management: a review of assessment and relevant guidelines.
abstract: Despite the decline in the incidence of central nervous system disease associated with HIV, distal sensory peripheral (DSP) neuropathy continues to be prevalent in this population, causing debilitating symptoms and affecting quality of life. Patients typically present with numbness, tingling, burning pain, and loss of sensation in the toes and soles of their feet. Although this complication causes loss of protective function and puts patients at elevated risk for injury, infection, and falls, foot care for people with HIV is often overlooked. This article reviews what is known about DSP neuropathy in HIV and discusses relevant foot care guidelines, adopted from the literature on other conditions associated with neuropathic foot disorders.
authors.affiliation: Joyce K. Anastasi is an Independence Foundation endowed professor and founding director of the Division of Special Studies in Symptom Management (DS3M) at the New York University College of Nursing in New York City, where Bernadette Capili is an assistant professor and associate director of the DS3M, and Michelle Chang is a research associate at the DS3M. Contact author: Joyce K. Anastasi, ja2188@nyu.edu. The authors and planners have disclosed no potential conflicts of interest, financial or otherwise.
authors.forename: Joyce K
authors.initials: JK
authors.lastname: Anastasi
authors.forename: Bernadette
authors.initials: B
authors.lastname: Capili
authors.forename: Michelle
authors.initials: M
authors.lastname: Chang
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005534:Foot Diseases / Q000209:etiology* / Q000628:therapy*; D017408:Guidelines as Topic; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010346:Patient Care Management / Q000592:standards*; D010523:Peripheral Nervous System Diseases / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy*; D014481:United States; D014486:United States Food and Drug Administration