2,180 results match your criteria: "Nutritional Neuropathy"

Article Synopsis
  • A study was conducted to explore risk factors for optic neuropathy (ON) in patients using ethambutol, particularly looking at the impact of isoniazid and other toxic factors.
  • The research involved a large cohort of over 200,000 ethambutol users from 2015-2022, analyzing demographic and clinical data to identify the incidence and risk factors for ON.
  • Results showed that 2.6% developed ON, with notable risk associated with age, sex, comorbidities like diabetes and malnutrition, while isoniazid use was linked to a lower risk, emphasizing the need for careful monitoring of at-risk patients.
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Investigating the Link between Intermediate Metabolism, Sexual Dimorphism, and Cardiac Autonomic Dysfunction in Patients with Type 1 Diabetes.

Metabolites

August 2024

Diabetes, Obesity and Human Reproduction Research Group, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS) & Centro de Investigación Biomédica en Red Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Universidad de Alcalá, 28034 Madrid, Spain.

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Unilateral peroneal neuropathy in a patient following laparoscopic sleeve gastrectomy.

Postgrad Med

September 2024

Apex Sports Physicians, Geelong, Victoria, Australia.

Peroneal neuropathy, characterized by the occurrence of a foot drop, can develop due to a variety of factors, such as tumors, trauma, or metabolic conditions, making it one of the most prevalent peripheral neuropathies of the lower limbs. This condition is becoming more identifiable among patients who have undergone substantial weight reduction through bariatric surgery. The condition may present with symptoms like pain, sporadic paresthesia, and functional restrictions, primarily linked to foot drop.

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Aims: The prevalence and associations of overweight and obesity in Canadian adult people living with type 1 diabetes (PWT1D) are poorly documented. In a cohort of PWT1D patients, this study assesses (i) overweight and obesity frequencies and associated PWT1D clinicodemographic characteristics, (ii) diabetes characteristics, and (iii) the use of noninsulin adjunctive agents.

Materials And Methods: Cross-sectional analysis of self-reported data from the BETTER registry: 1091 adult PWT1D (aged 44.

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Diabetic peripheral neuropathy (DPN) is a complication of diabetes mellitus that lacks specific treatment, its high prevalence and disabling neuropathic pain greatly affects patients' physical and mental health. Schwann cells (SCs) are the major glial cells of the peripheral nervous system, which play an important role in various inflammatory and metabolic neuropathies by providing nutritional support, wrapping axons and promoting repair and regeneration. Increasingly, high glucose (HG) has been found to promote the progression of DPN pathogenesis by targeting SCs death regulation, thus revealing the specific molecular process of programmed cell death (PCD) in which SCs are disrupted is an important link to gain insight into the pathogenesis of DPN.

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Article Synopsis
  • This study examined central nervous system (CNS) complications in children undergoing treatment for acute leukemia, focusing on patients with acute lymphoblastic leukemia (ALL) and acute myeloid leukemia (AML).
  • Out of 115 reviewed patient records, CNS complications were found in 23.1% of AML and 13.5% of ALL patients, with the induction phase of treatment being the most risky period.
  • Common symptoms included seizures and hemiparesis, and various CNS complications such as chemotherapy-induced leukoencephalopathy and Wernicke's encephalopathy were identified, highlighting the need for careful neuroimaging for accurate diagnosis.
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Different Measures of Hyperglycemia Are Negatively Associated With Skin Microvascular Flowmotion: The Maastricht Study.

Microcirculation

October 2024

CARIM School for Cardiovascular Diseases, Department of Internal Medicine, Maastricht University Medical Center+, Maastricht, The Netherlands.

Objective: Diabetes can lead to microvascular complications such as diabetic neuropathy, nephropathy, and retinopathy. Hyperglycemia may initiate microvascular function impairment early in the course of diabetes, even prior to its clinical establishment during the pre-diabetes stage. Microvascular vasomotion, that is, the rhythmic arteriolar constriction and dilation, is an important function that regulates oxygen and nutrient delivery within the tissue and regulates peripheral resistance.

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Article Synopsis
  • Wernicke encephalopathy (WE) can lead to various neuro-ophthalmic symptoms like vision loss, and this case highlights a 53-year-old woman who experienced bilateral painless vision decline alongside other neurological issues.* -
  • Despite elevated inflammatory markers and a thorough work-up revealing no clear cause, brain MRI indicated possible WE, prompting immediate high-dose thiamine treatment, which led to significant improvement.* -
  • The case stresses the importance of considering vision loss in Wernicke-Korsakoff syndrome (WKS) patients and suggests that while checking thiamine levels is important, starting treatment based on clinical suspicion is often necessary and safe.*
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Objectives: Provide an overview of scientific reports and literature related to the role(s) of phytocompounds and nutrients in neuroprotection. Discuss how these properties may inform nutrition- and dietary interventions to mitigate chemotherapy-induced peripheral neuropathy (CIPN), for which there are no effective treatments.

Methods: A literature search (2010-2023) was conducted in PubMed and Google Scholar where search terms-diet, nutrition, neuroprotection, neurodegenerative diseases, and social determinants of health-were used to narrow articles.

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Article Synopsis
  • - The phase 3 NEURO-TTRansform trial demonstrated that eplontersen significantly reduced transthyretin (TTR) levels and halted the progression of neuropathy impairment in patients with hereditary TTR-mediated amyloidosis after 65 weeks of treatment.
  • - The study involved patients initially receiving inotersen, who then switched to eplontersen, resulting in a greater reduction of TTR levels and stabilized quality of life and nutritional status during the eplontersen treatment.
  • - Patients who switched to eplontersen experienced fewer treatment-emergent adverse events, restored platelet counts, and overall better tolerability, indicating a favorable benefit-risk profile for this treatment strategy. *
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Due to an increase in the worldwide prevalence of obesity and the efficiency of bariatric surgery, this procedure is more often performed. Besides its benefits, it has also disadvantages and may be the cause of nutritional deficiencies. Thiamin deficiency is particularly important to diagnose and to treat early as it can lead to major sequelae and even to death.

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Familial NTCPD presenting with persistent hypercholanemia and co-existing with a series of novel heterozygous mutations.

Clin Res Hepatol Gastroenterol

October 2024

Department of Pathology, Kunming Children's Hospital, The Affiliated Children's Hospital of Kunming Medical University, Yunnan Province Clinical Research Center for Children's Health and Disease, Kunming, PR China. Electronic address:

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Article Synopsis
  • Peripheral neuropathy in patients with excessive alcohol consumption is frequently misdiagnosed due to the lack of clear biomarkers and underlying biases against those with alcohol use disorder (AUD).
  • Various mechanisms, including nutrient deficiencies and oxidative stress, contribute to alcohol-related nerve toxicity, but symptoms often resemble those of chronic idiopathic neuropathy, complicating diagnosis.
  • The stigma surrounding AUD can harm patient care, as biases in healthcare may lead to inadequate treatment and social isolation, highlighting the need for increased awareness and better clinical practices.
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Association of ultraprocessed food consumption with risk of microvascular complications among individuals with type 2 diabetes in the UK Biobank: a prospective cohort study.

Am J Clin Nutr

September 2024

Department of Epidemiology and Biostatistics, Ministry of Education Key Laboratory of Environment and Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. Electronic address:

Article Synopsis
  • The study investigates the link between ultraprocessed food (UPF) consumption and the risk of diabetic microvascular complications in individuals with type 2 diabetes, highlighting a knowledge gap in this area.
  • Researchers analyzed dietary patterns of 5,685 participants from the UK Biobank and found that higher UPF intake correlates with increased risk for complications, particularly diabetic kidney disease.
  • Biological pathways involving inflammation and lipid profiles, indicated by biomarkers like triglycerides and C-reactive protein, were identified as partial mediators of the relationship between UPF consumption and these microvascular complications.
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Pulsed electromagnetic fields (PEMFs) are recognized for their potential in regenerative medicine, offering a non-invasive avenue for tissue rejuvenation. While prior research has mainly focused on their effects on bone and dermo-epidermal tissues, the impact of PEMFs on nervous tissue, particularly in the context of neuropathy associated with the diabetic foot, remains relatively unexplored. Addressing this gap, our preliminary in vitro study investigates the effects of complex magnetic fields (CMFs) on glial-like cells derived from mesenchymal cell differentiation, serving as a model for neuropathy of the diabetic foot.

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Bariatric surgery is being undertaken more frequently in response to rising levels of obesity but is increasingly also requested as a cosmetic choice. Nutritional deficiencies are a recognised consequence of gastrectomy, with potentially severe and permanent neurological sequelae. We present two cases of acute, severe polyneuropathy following sleeve gastrectomy.

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Article Synopsis
  • The study looked at how often people in Romania got diabetic neuropathy (DN) and nondiabetic neuropathy (non-DN) from 2010 to 2019.
  • They found that more women had DN while more men had non-DN, and both types of neuropathy increased over the years, especially in people with type 2 diabetes.
  • The rise in non-DN cases was mostly due to other kinds of nerve problems like inflammatory polyneuropathies and uremic neuropathy, showing that both types of neuropathy are becoming more common.
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Introduction: Small fibre neuropathy (SFN) is an early manifestation of diabetic polyneuropathy. Although oxidative stress, inflammation and change of intestinal bacterial population are assumed to be their pathogenesis, the effects of dietary nutrition have not been evaluated. The relationship between dietary nutrition intake and pain sensation was evaluated in the Japanese population.

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Aim: Hypovitaminosis A is a leading cause of preventable childhood blindness, especially in developing nations. Vitamin A is a fat-soluble essential micronutrient that serves vital functions in the visual system and in regulating bone resorption. We report on a series of four children with mixed nutritional and compressive optic neuropathy and provide a review of the literature.

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Electrophysiological and radiological diagnosis of hereditary motor and sensory polyneuropathy.

J Family Med Prim Care

June 2024

Department of Radiology and Imaging, King Abdul-Aziz University Hospital, King Saud University, Riyadh, Saudi Arabia.

Hereditary motor and sensory neuropathy (HMSN), also known as Charcot-Marie-Tooth disease (CMT), is a member of the inherited neuropathy family with specific clinical and genetical manifestations. More than twenty genes have been linked to HMSN, and the number might increase. Regarding diagnosis, a healthcare provider should be suspicious if the patient is young with a family history.

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Article Synopsis
  • A rare case of combined nutritional deficiencies—including vitamin A, zinc, and copper—was reported to cause bilateral central vision loss and nyctalopia in a patient post-bariatric surgery and alcohol use.
  • *The patient's vision significantly improved within one month after starting vitamin and mineral supplementation.
  • *Clinicians should be aware of the potential for similar vision loss from nutritional deficiencies, especially with increasing rates of bariatric surgery and alcohol consumption.
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Caffeine consumption outcomes on amyotrophic lateral sclerosis disease progression and cognition.

Neurobiol Dis

September 2024

University of Lille, Inserm, CHU Lille, UMR-S1172 Lille Neuroscience & Cognition (LilNCog), Lille, France; Department of Medical Pharmacology, CHU de Lille, Lille, France. Electronic address:

Caffeine consumption outcomes on Amyotrophic Lateral Sclerosis (ALS) including progression, survival and cognition remain poorly defined and may depend on its metabolization influenced by genetic variants. 378 ALS patients with a precise evaluation of their regular caffeine consumption were monitored as part of a prospective multicenter study. Demographic, clinical characteristics, functional disability as measured with revised ALS Functional Rating Scale (ALSFRS-R), cognitive deficits measured using Edinburgh Cognitive and Behavioural ALS Screen (ECAS), survival and riluzole treatment were recorded.

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Fish Oil, Plasma n-3 PUFAs, and Risk of Macro- and Microvascular Complications among Individuals with Type 2 Diabetes.

J Clin Endocrinol Metab

July 2024

Department of Nutrition and Food Hygiene, Hubei Key Laboratory of Food Nutrition and Safety, Ministry of Education Key Lab of Environment and Health, and State Key Laboratory of Environment Health (Incubating), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Article Synopsis
  • The study aimed to assess how fish oil supplementation and plasma omega-3 fatty acids relate to risks of complications in people with type 2 diabetes.
  • Over a 13.2-year period, it was found that participants taking fish oil had significantly lower risks for both macrovascular and microvascular complications compared to those who did not.
  • Higher levels of docosahexaenoic acid (DHA) specifically showed strong protective effects, and metabolism-related biomarkers played a crucial role in explaining these beneficial associations.
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