Protective sensation in the foot in leprosy.
نویسندگان
چکیده
Plantar ulceration is a significant problem in leprosy patients and accounts for a large proportion of hospital admissions. Three methods of sensory testing were employed to see if a high-risk group of people with loss of protective sensation might be selected, so that the serious first ulcer might be prevented . Three groups of patients were studied : 4 1 leprosy patients with ulcers, 4 1 without ulcers and 48 control subjects without leprosy. The results show that either or both Semmes-Weinstein nylon monofilaments and biosthesiometer may prove a more reliable method of sensory testing than the standard WHO pencil stimulus.
منابع مشابه
The threshold for protective sensation that prevents neuropathic ulceration on the plantar aspect of the foot: a study of leprosy patients in a rural community in India.
The protective sensation threshold is an important concept in the prevention of plantar ulceration in leprosy patients. Previous studies have suggested that skin with sensory nerve damage on the plantar aspect of the foot which can still detect the 5.07 Semmes-Weinstein monofilament (approximately 10 g) is highly unlikely to develop ulceration. While the threshold is thought to be less than the...
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In the ALERT leprosy control programme, 75 people affected by leprosy, in three different geographical areas, were investigated. Each person was documented as having anaesthesia to the 10 g monofilament. The study sought to determine why some people developed ulcers whilst others did not. According to the records, 43 had an ulcer during the last 5 years but 32 had never had an ulcer. In order t...
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ورودعنوان ژورنال:
- Leprosy review
دوره 59 4 شماره
صفحات -
تاریخ انتشار 1988