Glove and stocking pattern

The peripheral nerves consist of bundles of long neuronal axons as they exit the central nervous system CNS. Some peripheral nerves are wrapped in a myelin sheath generated by Schwann cells, whereas others are unmyelinated.

Stocking glove neuropathy refers to symptoms of peripheral neuropathy that cause numbness, weakness, or sensory changes in the hands and feet. It has a number of potential causes, including diabetes. Peripheral neuropathy is nerve damage to the peripheral nerves. These nerves send signals throughout the body and to the brain and spinal cord , also known as the central nervous system. Some types of peripheral neuropathy start in the hands and feet. Doctors call this stocking and glove distribution, as people may feel as though they are wearing stockings and gloves when they are not.

Glove and stocking pattern

Half of people who have diabetes eventually develop diabetic peripheral neuropathy, and the warning signs are sensory symptoms that start in the distant periphery and progressing in a characteristic 'glove and stocking' way. People who have diabetes fear diabetic peripheral neuropathy DPN , as it is common and the chance of developing this painful condition increases as disease duration increases. Half of people who have diabetes eventually develop DPN, and the warning signs are sensory symptoms that start in the distant periphery and progressing in a characteristic 'glove and stocking' way. In addition to causing unremitting pain, DPN is also associated with increased mortality. Patients often have difficulty sleeping, struggle to maintain a positive outlook, and are often unable to complete activities of daily living. The journal Clinical Therapeutics has published a critical review on this topic that includes seminal and novel research in epidemiology, and offers insight into diagnosis of this common condition. Of great interest to pharmacists is their review of emerging pharmacotherapies. The authors begin by pointing out the clinicians often misdiagnose DPN, and consequently, fail to treat as aggressively and effectively as they could. The cornerstone of treatment is actually prevention, meaning that clinicians need to work with patients to achieve tight glycemic control. Once DPN develops, management of associated pain depends on individualized treatment plans. Creating these plans is often difficult.

Such a finding readily narrows the differential diagnosis. Peripheral neuropathy is nerve damage to the peripheral nerves. Medical News Today.

Many patients presenting themselves with complaints of numbness or weakness will eventually be shown to have a disorder of the peripheral nervous system. Although the differential diagnosis is large in these disorders, the combination of a directed neurologic history exam along with relatively simple ancillary testing will quickly narrow the differential diagnosis. As many of these disorders are treatable or curable, prompt recognition, especially early in the clinical course, is important. Peripheral neuropathies a. Many disease processes may preferentially attack either the axon or the myelin sheath of the peripheral nerve. As a rule, axonal peripheral neuropathies affect the longest axons first.

Stocking glove neuropathy refers to symptoms of peripheral neuropathy that cause numbness, weakness, or sensory changes in the hands and feet. It has a number of potential causes, including diabetes. Peripheral neuropathy is nerve damage to the peripheral nerves. These nerves send signals throughout the body and to the brain and spinal cord , also known as the central nervous system. Some types of peripheral neuropathy start in the hands and feet. Doctors call this stocking and glove distribution, as people may feel as though they are wearing stockings and gloves when they are not. This article explains what stocking glove neuropathy is, its symptoms, causes, and treatment options. It also lists some potential prevention methods. Stocking and glove distribution refers to a specific symptom people may experience with peripheral neuropathy.

Glove and stocking pattern

Half of people who have diabetes eventually develop diabetic peripheral neuropathy, and the warning signs are sensory symptoms that start in the distant periphery and progressing in a characteristic 'glove and stocking' way. People who have diabetes fear diabetic peripheral neuropathy DPN , as it is common and the chance of developing this painful condition increases as disease duration increases. Half of people who have diabetes eventually develop DPN, and the warning signs are sensory symptoms that start in the distant periphery and progressing in a characteristic 'glove and stocking' way. In addition to causing unremitting pain, DPN is also associated with increased mortality. Patients often have difficulty sleeping, struggle to maintain a positive outlook, and are often unable to complete activities of daily living.

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All motor fibers are large fibers. Once all of the above information is known, the list of possible etiologies is often markedly reduced, so that more intelligent use of further laboratory testing can be employed to reach a diagnosis. Thus, many peripheral nerve disorders present with similar symptoms. Charcot arthropathy Thus, all of the above symptoms and signs are typically seen in the stocking-glove distribution. Symptoms of stocking glove neuropathy may include symptoms of nerve damage in the hands and feet, such as:. What is it? In the Western world, diabetes is the biggest cause of peripheral neuropathy, usually distal symmetric polyneuropathy but some times another polyneuropathy or a focal neuropathy. Lastly, all patients should be questioned about toxic and occupational exposures. Clinical Clues to an Inherited Peripheral Neuropathies. Bowel or bladder disturbance Hyperhidrosis. Lesions of the peripheral nerve roots are typically asymmetric, follow a dermatomal pattern of sensory symptoms, and may have associated neck and low back pain.

Peripheral neuropathy is one of the most common neurologic problems encountered by family physicians.

How we reviewed this article: Sources. Stocking and glove neuropathy may begin as symptoms in the hands and feet and may gradually spread toward the center of the body. Hyperhidrosis Gustatory sweating. The authors begin by pointing out the clinicians often misdiagnose DPN, and consequently, fail to treat as aggressively and effectively as they could. Inadequate levels of zinc, vitamin D, vitamin E, and vitamin B were also associated with risk of diabetes or diabetes-related complications. Is it possible to die from peripheral neuropathy? Diabetes Care. Initial evaluation of a patient with peripheral neuropathy should include a complete blood count, comprehensive metabolic profile, and measurement of erythrocyte sedimentation rate and fasting blood glucose, vitamin B 12 , and thyroid-stimulating hormone levels. Peripheral nerve may be viewed as supplying motor , sensory , as well as autonomic function. A doctor may check for nerve damage in the hands and feet with a foot exam, nerve conduction studies, and electromyography EMG. Above : The typical distribution of most peripheral neuropathies are "length-dependent" i. Contact Us.