Publications by authors named "Khama Lutchmansingh"
Objective: Both periodontal disease and peripheral neuropathy are complications associated with poorly controlled diabetes. This study aimed to determine whether periodontal disease was more prevalent and more severe among patients with severe diabetic peripheral neuropathy.
Methods: A case-control study was performed; 46 patients with and 48 without the slipping slipper sign (SSS)-a surrogate clinical marker for severe peripheral neuropathy-were recruited from a diabetic outpatient clinic.
Article Synopsis
- Neuropathic feet are highly susceptible to infections and amputations, and the Slipping Slipper Sign (SSS) can help identify severe diabetic peripheral neuropathy through a simple questionnaire that non-medical staff can administer.
- In a study with 74 diabetic patients, those with SSS had longer diabetes duration and higher instances of complications like retinopathy and cerebrovascular accidents compared to those without SSS.
- Nerve conduction studies revealed significant differences in nerve function, with patients showing SSS having markedly reduced sensory nerve action potential and thinner nerve diameters, indicating a correlation between SSS and severe neuropathy.