Nerve fibre studies in skin biopsies in peripheral neuropathies. I. Immunohistochemical analysis of neuropeptides in diabetes mellitus.

Abstract:

:Standardised skin biopsies followed by immunohistochemical examination for the presence of terminal nerve fibres reacting for neuropeptides substance P (SP) and calcitonin gene-related peptide (CGRP) were evaluated. Healthy subjects regularly displayed free nerve endings of both fibre types in the papillary and reticular dermis. Both fibre types were present close to blood vessels, while CGRP immunoreactive fibres were more often encountered near sweat gland acini compared to SP fibres. Diabetes mellitus complicated by polyneuropathy was accompanied by marked reduction of SP and CGRP reactive fibres in the dermis layers. Five type I diabetes patients without clinical or neurophysiological evidence of polyneuropathy also had reduced density of both fibre types, being significant for CGRP fibres when compared with controls. Skin biopsy with immunohistochemical staining for neuropeptides may represent a sensitive tool in evaluation of patients with peripheral neuropathies.

journal_name

J Neurol Sci

authors

Lindberger M,Schröder HD,Schultzberg M,Kristensson K,Persson A,Ostman J,Link H

doi

10.1016/0022-510x(89)90198-6

subject

Has Abstract

pub_date

1989-11-01 00:00:00

pages

289-96

issue

2-3

eissn

0022-510X

issn

1878-5883

pii

0022-510X(89)90198-6

journal_volume

93

pub_type

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