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  • 1
    ISSN: 1432-0428
    Keywords: Neurogenic bladder ; juvenile diabetes ; cystometry ; impotence ; neuropathy ; intravesical pressures ; vesical capacity ; bioelectric test ; residue urinary ; first matinal micturition
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Résumé Le présent travail concerne une investigation sur les troubles de la vessie chez 31 diabétiques jeunes. Il a été démontré que: 1. La lésion prédominante est une lésion de neuropathie. — 2. Des signes vésicaux tels que la capacité accrue et l'atonie mesurées par cystométrie, ont été démontrés dans 27 cas sur les 31 (87%). — 3. 4 cas avaient une hypertrophie du col. — 4. Le symptome le plus frappant était l'important volume de la première urine du matin. Ceci a été indiqué par les patients. Ils ne se plaignaient d'aucun trouble urologique. — 5. On trouve une haute fréquence d'impuissance chez les diabétiques ayant une vessie neurogène. — 6. Les causes possibles de telles lésions et la valeur de certaines mesures thérapeutiques sont discutées.
    Abstract: Zusammenfassung Es wird über Blasenstörungen bei 31 jugendlichen Diabetikern berichtet. Es konnte gezeigt werden, daß: 1. die Neuropathie die vorherrschende Störung darstellt; 2. bei 27 von 31 Fällen (87%) eine Blasenbeteiligung (gesteigerte Kapazität und zytometrisch nachweisbare Atonie) vorlag; — 3. bei 4 Fällen eine Blasenhalshypertrophie bestand; — 4. hervorstechendes Symptom war die große Harnmenge bei der ersten morgendlichen Blasenentleerung, über das die Patienten auf Anfrage berichteten. Sie äußerten keine urologischen Beschwerden; — 5. Bei vielen Diabetikern mit einer neurogenen Blasenstörung ist eine Impotenz festzustellen; — 6. Die für diese Läsionen in Frage kommenden Ursachen und der Wert einiger therapeutischer Maßnahmen werden diskutiert.
    Notes: Summary The present report concerns investigation of bladder disturbances in 31 juvenile diabetics. It was shown that: 1. The predominant lesion is one of neuropathy. — 2. Vesical involvement such as increased capacity and atony was demonstrated by cystometry in 27 out of the 31 cases (87%). — 3. 4 cases had neck hypertrophy. — 4. The most striking symptom was a large volume of first morning urine. This information was elicited from the patients. They had no urological complaints. — 5. A high incidence of impotence was seen in diabetics with neurogenic bladder. — 6. The possible causes of such lesions and the value of certain therapeutic measures was discussed.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-0428
    Keywords: Anhidrosis ; sweat secretion ; autonomic nerve fibre ; sympathetic chain ; Minor test ; skin biopsy ; argentic techniques ; sympathectomy ; diabetic visceral neuropathy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary In diabetics with the anhidrotic syndrome, autonomic nerve fibres were studied in skin biopsies using argentic techniques and light microscopy. The Minor test was used to differentiate normal from anhidrotic skin areas. In the anhidrotic areas, histology of the nerve fibres showed beading, spindle-shaped thickening and fragmentation adjacent to the sweat glands. These changes were similar to those observed in two patients who had previously undergone lumbar sympathectomy. No abnormalities of the sympathetic nerve endings could be found in biopsies taken from normal areas of the forearm of the same patients. We conclude that the diabetic anhidrotic syndrome, a form of diabetic autonomic neuropathy, is due to a lesion of the sympathetic nerve supply to the skin. It is suggested that the Minor test or a skin biopsy should be performed in diabetic patients who are being considered for surgical sympathectomy.
    Type of Medium: Electronic Resource
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