Objective: To present standardized diagnostic criteria for idiopathic distal sensory polyneuropathy (iDSP) and its subtypes: idiopathic mixed fiber sensory neuropathy (iMFN), idiopathic small fiber sensory neuropathy (iSFN), and idiopathic large fiber sensory neuropathy (iLFN) for use in research. Methods: The Analgesic, Anesthetic, and Addiction Clinical Trial Translations, Innovations, Opportunities and Networks (ACTTION) public-private partnership with the Food and Drug Administration convened a meeting to develop consensus diagnostic criteria for iMFN, iSFN, and iLFN. After background presentations, a collaborative, iterative approach was used to develop expert consensus for new criteria. Results: An iDSP diagnosis requires at least one small fiber (SF) or large fiber (LF) symptom, at least one SF or LF sign, abnormalities in sensory nerve conduction studies (NCS) or distal intra-epidermal nerve fiber density (IENFD), and exclusion of known etiologies. An iMFN diagnosis requires that at least one of the above clinical features is SF and one clinical feature is LF. Diagnostic criteria for iSFN require at least one SF symptom and at least one SF sign with abnormal IENFD, normal sensory NCS, and the absence of LF symptoms and signs. Diagnostic criteria for iLFN require at least one LF symptom and at least one LF sign with normal IENFD, abnormal NCS, and absence of SF symptoms and signs. Conclusions: Adoption of these standardized diagnostic criteria will advance research and clinical trials and spur development of novel therapies for iDSPs..

Idiopathic distal sensory polyneuropathy: ACTTION diagnostic criteria / R. Freeman, J.S. Gewandter, C.G. Faber, C. Gibbons, S. Haroutounian, G. Lauria, T. Levine, R.A. Malik, J.R. Singleton, A.G. Smith, J. Bell, R.H. Dworkin, E. Feldman, D.N. Herrmann, A. Hoke, N. Kolb, H. Mansikka, A.L. Oaklander, A. Peltier, M. Polydefkis, E. Ritt, J.W. Russell, S. Sainati, D. Steiner, R. Treister, N. Üçeyler. - In: NEUROLOGY. - ISSN 0028-3878. - (2020). [Epub ahead of print]

Idiopathic distal sensory polyneuropathy: ACTTION diagnostic criteria

G. Lauria;
2020

Abstract

Objective: To present standardized diagnostic criteria for idiopathic distal sensory polyneuropathy (iDSP) and its subtypes: idiopathic mixed fiber sensory neuropathy (iMFN), idiopathic small fiber sensory neuropathy (iSFN), and idiopathic large fiber sensory neuropathy (iLFN) for use in research. Methods: The Analgesic, Anesthetic, and Addiction Clinical Trial Translations, Innovations, Opportunities and Networks (ACTTION) public-private partnership with the Food and Drug Administration convened a meeting to develop consensus diagnostic criteria for iMFN, iSFN, and iLFN. After background presentations, a collaborative, iterative approach was used to develop expert consensus for new criteria. Results: An iDSP diagnosis requires at least one small fiber (SF) or large fiber (LF) symptom, at least one SF or LF sign, abnormalities in sensory nerve conduction studies (NCS) or distal intra-epidermal nerve fiber density (IENFD), and exclusion of known etiologies. An iMFN diagnosis requires that at least one of the above clinical features is SF and one clinical feature is LF. Diagnostic criteria for iSFN require at least one SF symptom and at least one SF sign with abnormal IENFD, normal sensory NCS, and the absence of LF symptoms and signs. Diagnostic criteria for iLFN require at least one LF symptom and at least one LF sign with normal IENFD, abnormal NCS, and absence of SF symptoms and signs. Conclusions: Adoption of these standardized diagnostic criteria will advance research and clinical trials and spur development of novel therapies for iDSPs..
Settore MED/26 - Neurologia
2020
14-ott-2020
Article (author)
File in questo prodotto:
File Dimensione Formato  
Lauria-Neurology (1).pdf

Open Access dal 15/10/2021

Tipologia: Post-print, accepted manuscript ecc. (versione accettata dall'editore)
Dimensione 2.84 MB
Formato Adobe PDF
2.84 MB Adobe PDF Visualizza/Apri
Pubblicazioni consigliate

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/778322
Citazioni
  • ???jsp.display-item.citation.pmc??? 18
  • Scopus 39
  • ???jsp.display-item.citation.isi??? 34
social impact