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pubmed-article:8400818rdf:typepubmed:Citationlld:pubmed
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pubmed-article:8400818pubmed:dateCreated1993-11-23lld:pubmed
pubmed-article:8400818pubmed:abstractTextFingertip skin blood flow was measured by laser Doppler flowmetry (as LDflux) under environmental conditions promoting vasodilation in Scottish patients with diabetes mellitus and Indian patients with leprosy. The reflex control of fingertip blood flow was assessed by measuring the reduction in LDflux induced by deep inspiratory gasp (IG) and cold challenge (CC) of immersing the contralateral hand in cold water. The uncomplicated diabetic patients showed normal vasomotor reflexes and an increased, though non significant, LDflux level (p < 0.06). The patients with diabetic neuropathy had resting LDflux levels significantly less than the uncomplicated group and also had substantial impairment of both IG and CC reflexes. Those with retinopathy (but no clinically apparent neuropathy) had LDflux within the normal range, but they showed minor evidence of impairment of the vasomotor reflexes. The uncomplicated newly registered leprosy patients had reduced LDflux and substantial impairment of CC reflexes. These changes were more marked in newly registered leprosy patients with clinical evidence of neuropathy. Leprosy patients with long-standing neuropathy requiring orthopaedic treatment had LDfluxes so greatly reduced that measurement of vasomotor reflexes was not practicable. The CC reflex was more severely affected than the IG reflex and more frequently absent in leprosy patients, possibly because of associated sensory neuropathy affecting the afferent limb of this response. Thus laser Doppler flowmetry can detect impairment of reflex control of fingertip blood flow in both diabetes mellitus and leprosy, but there are functional differences in the pattern of autonomic impairment between the diseases, suggesting differences in the pathogenesis of nerve damage.lld:pubmed
pubmed-article:8400818pubmed:languageenglld:pubmed
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pubmed-article:8400818pubmed:monthJunlld:pubmed
pubmed-article:8400818pubmed:issn0959-9851lld:pubmed
pubmed-article:8400818pubmed:authorpubmed-author:KhanFFlld:pubmed
pubmed-article:8400818pubmed:authorpubmed-author:BeckJ SJSlld:pubmed
pubmed-article:8400818pubmed:authorpubmed-author:WilsonS BSBlld:pubmed
pubmed-article:8400818pubmed:authorpubmed-author:AbbotN CNClld:pubmed
pubmed-article:8400818pubmed:issnTypePrintlld:pubmed
pubmed-article:8400818pubmed:volume3lld:pubmed
pubmed-article:8400818pubmed:ownerNLMlld:pubmed
pubmed-article:8400818pubmed:authorsCompleteYlld:pubmed
pubmed-article:8400818pubmed:pagination189-93lld:pubmed
pubmed-article:8400818pubmed:dateRevised2006-11-15lld:pubmed
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pubmed-article:8400818pubmed:year1993lld:pubmed
pubmed-article:8400818pubmed:articleTitleVasomotor reflexes in the fingertip skin of patients with type 1 diabetes mellitus and leprosy.lld:pubmed
pubmed-article:8400818pubmed:affiliationDepartment of Pathology, Ninewells Hospital and Medical School, University of Dundee, UK.lld:pubmed
pubmed-article:8400818pubmed:publicationTypeJournal Articlelld:pubmed
pubmed-article:8400818pubmed:publicationTypeResearch Support, Non-U.S. Gov'tlld:pubmed