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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
2004-5-5
pubmed:abstractText
We investigated the effect of Prostaglandin E1 in lipid microspheres (Lipo-PGE1) on diabetic peripheral neuropathy from view of symptoms, neurological examinations including sensory threshold evaluated with Semmes-Weinstein monofilaments (SWM). Type 2 diabetic patients with diabetic peripheral neuropathy were participated in this study. The patients were randomly assigned to two groups, 11 Lipo-PGE1-treated patients and 16 control patients. Lipo-PGE1 at a dose of 10mg in 20ml of saline was injected intravenously as a bolus once daily for 2 weeks. Before and, 1, 2 and 4 weeks after the start of treatment with Lipo-PGE1, sensory threshold was evaluated with Semmes-Weinstein monofilaments at total 18 touch sites on the feet. Administration of Lipo-PGE1 improved subjective symptoms especially in items of numbness and imperception. Such improvement in subjective symptoms correlated well with the improvement in Semmes-Weinstein monofilaments examination, whereas the improvement was not recognized in motor nerve conduction velocity (MCV), sensory nerve conduction velocity (SCV) and coefficient variation of R-R interval on ECG (CVR-R). The improvement lasted for at least 6 months. This study demonstrated that Lipo-PGE1 has long term amelioration effects on diabetic neuropathy especially in symptoms and sensory threshold, and that Semmes-Weinstein monofilaments examination is a simpler, more valid and quantitative tool for assessing the clinical effect of Lipo-PGE1 on diabetic peripheral neuropathy.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jun
pubmed:issn
0168-8227
pubmed:author
pubmed:issnType
Print
pubmed:volume
64
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
153-9
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:15126001-Alprostadil, pubmed-meshheading:15126001-Body Mass Index, pubmed-meshheading:15126001-Diabetes Mellitus, Type 2, pubmed-meshheading:15126001-Diabetic Neuropathies, pubmed-meshheading:15126001-Drug Administration Schedule, pubmed-meshheading:15126001-Electrocardiography, pubmed-meshheading:15126001-Female, pubmed-meshheading:15126001-Humans, pubmed-meshheading:15126001-Injections, Intravenous, pubmed-meshheading:15126001-Japan, pubmed-meshheading:15126001-Male, pubmed-meshheading:15126001-Microspheres, pubmed-meshheading:15126001-Middle Aged, pubmed-meshheading:15126001-Neurologic Examination, pubmed-meshheading:15126001-Neurons, Afferent, pubmed-meshheading:15126001-Sensation Disorders, pubmed-meshheading:15126001-Somatosensory Disorders, pubmed-meshheading:15126001-Time Factors
pubmed:year
2004
pubmed:articleTitle
Prostaglandin E1 in lipid microspheres ameliorates diabetic peripheral neuropathy: clinical usefulness of Semmes-Weinstein monofilaments for evaluating diabetic sensory abnormality.
pubmed:affiliation
Department of Endocrinology and Metabolism, Kanazawa University Graduate School of Medical Science, Takara-machi 13-1, Kanazawa, Ishikawa, Japan.
pubmed:publicationType
Journal Article, Clinical Trial, Comparative Study, Randomized Controlled Trial