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IPCA

International Primary Care Association
 
 
 

Clinical Focus Volume 3 N1

Volume 11 Issue 1 - 2017

15% of new or recurrent asthma in adulthood is due to workplace exposures. Occupational asthma occurs due to an allergic reaction to an airborne allergen whereas ‘work exacerbated (pre-existing) asthma’ is a response to non-specific irritants. If detected early, occupational asthma is curable but a false positive diagnosis can have devastating consequences.

Diabetic Neuropathy (DN) is the most common complication of diabetes and represents a heterogeneous group of neurological conditions. Although any nerve in the body may be affected, the length dependent distal symmetrical sensory predominant neuropathy is the most common presentation. Diabetic neuropathy often develops insidiously and often remains asymptomatic until well established. Important complications of DN include the development of neuropathic pain, autonomic features, foot deformities and ulceration all which lead to considerable morbidity. Furthermore, it is also considered to represent an increased mortality risk.

Pathogenic triggers apart from hyperglycaemia, such as cardiometabolic and vascular factors, are being increasingly recognised to play a significant role in DN development. Newer putative agents have shown promise in experimental diabetic neuropathy but are yet to be clinically proven. Thus, glucose control remains the only proven strategy to delay the development of DN. Management of neuropathic pain and foot risk assessment and ulcer prevention strategies are important clinical considerations. In this review, I discuss the classification, diagnosis and management of the DN.

Women with epilepsy have specific needs during their reproductive years. It is imperative that their general practitioner is familiar with the relevant issues and aware of how to address these, as well as knowing what to anticipate and expect from specialist joint neurology/obstetric care.

 
 

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