L'exploration de la neuropathie diabétique périphérique

Diabetic neuropathy (DN) is the most frequent neuropathy in developed country. However there are many other etiologies for bilateral and symmetric neuropathy. DN can be silent for a long time and go undetected, while exercising its ravages leading to the “diabetic foot”; so it must be diagnose. DN always begins at the lower extremity and must be detected at the halux. Pain can occur but clinical symptoms and signs are non-specific and insidious. Vibration perception threshold is the most powerful tool as it provides numerical values that can help for determination of “at risk” value.