The Clinical Features of Painful Small‐Fiber Neuropathy Suggesting an Origin Linked to Primary Sjögren's Syndrome.
Objective: We attempted to determine whether clinical features could differentiate painful small‐fiber neuropathy related to primary Sj€ogren's syndrome (pSS‐SFN) from idiopathic SFN (idio‐SFN). Methods: Validated clinical questionnaires and neurophysiological investigations specific for pain and SF...
| Publicado en: | Pain Practice Vol. 19; no. 4; pp. 426 - 435 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Apr2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=135795064&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 135795064 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15307085 HYN jtl: Pain Practice issn: 15307085 maglogo: Y pubinfo: dt: Apr2019 vid: 19 iid: 4 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 135795064 135795064 135795064 10.1111/papr.12763 135795064 ppf: 426 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: The Clinical Features of Painful Small‐Fiber Neuropathy Suggesting an Origin Linked to Primary Sjögren's Syndrome. aug: au: Zouari, Hela G. Wahab, Abir Ng Wing Tin, Sophie Sène, Damien Lefaucheur, Jean‐Pascal affil: EA 4391, Faculty of Medicine, Paris‐Est‐Creteil University, Créteil France sug: subj: Small Fiber Neuropathy Symptoms Sjogren's Syndrome Etiology Sjogren's Syndrome Diagnosis Human Questionnaires Descriptive Statistics Neurophysiology Anxiety Pain Skin Physiology Restless Legs ab: Objective: We attempted to determine whether clinical features could differentiate painful small‐fiber neuropathy related to primary Sj€ogren's syndrome (pSS‐SFN) from idiopathic SFN (idio‐SFN). Methods: Validated clinical questionnaires and neurophysiological investigations specific for pain and SFN assessment were performed in 25 patients with pSS‐SFN and 25 patients with idio‐SFN. Results: Patients with idio‐SFN had more frequent severe burning sensations and higher mean anxiety scores and daily pain intensity compared to patients with pSSSFN. Conversely, patients with pSS‐SFN had reduced electrochemical skin conductance measured by Sudoscan_, and almost half of them had the sensation of walking on cotton wool. Conclusion: Our results suggest that idio‐SFN more specifically involved small sensory fibers than pSS‐SFN, in which subtle dysfunction of larger sensory fibers and damage of distal autonomic sudomotor innervation may occur. A practical algorithm is proposed to help to differentiate SFN associated with pSS from idio‐SFN, based on information very easy to obtain by clinical interview. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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