Systemic sclerosis & Raynaud's

Foot peripheral sensory neuropathy: a frequent disabling manifestation in systemic sclerosis

Rheumatology (Oxford)Published Cross-sectional study

Authors' conclusion

Foot PSN presents as a common and disabling manifestation in SSc patients, involving small and large fibres.

Study context

Population
SSc patients (88.1% female, median age 59.0 years) and age- and gender-comparable healthy controls; quantitative sensory testing of feet
Participants
109 vs 51
Exposure
SSc patients vs healthy controls comparable for age and gender
  • SScn = 109
  • HCn = 51reference
Outcome
Presence of foot PSN (large and small fiber neuropathy) on quantitative sensory testing
Methodological detailsobservational, case-control
  • Observational
  • Case-control

Main finding

As reported in the abstract

Foot PSN prevalence in SSc patients

Foot peripheral sensory neuropathy (PSN) present

85.3%

Small fiber neuropathy

80%

Large fiber neuropathy

57%

Small and large fiber neuropathy co-existing

51.4%

Observational data: associations, not effects.

Further findings

Sensory parameters (touch, vibratory, thermal, pain), SSc vs HC

Significant impairment in each sensory parameter assessed in SSc patients
P ≤ 0.01 for all

At least one neuropathic symptom in subjects with PSN

Subjects with PSN reporting at least one neuropathic symptom
80.6%

Factors associated with PSN

PSN associated with age, smoking, foot ulceration, disease duration and GC use

Physical function, foot disability and quality of life (QoL) in patients with neuropathic symptoms

Worse physical function, worse foot disability and more impaired QoL with neuropathic symptoms

Original publication

Foot peripheral sensory neuropathy: a frequent disabling manifestation in systemic sclerosis. Rheumatology (Oxford). Published 29 January 2025. doi:10.1093/rheumatology/keaf047

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