Evidence map›Paper›PMID 41035812›Full record

ArticleCureus2025

Exploring the Prevalence and Symptom Burden of Small Fiber Neuropathy in Patients With Diabetes Using the Small Fiber Neuropathy Symptoms Inventory Questionnaire (SFN-SIQ).

Yashar Mashayekhi, Chinenye Iguh, Sara Baba-Aissa, Mishal Iqbal, Tejashree Nidiginti, Rabia Jalali, Ali A Kashmoola, Mutaz M Abualhab, Racha Al Niazi, Ayaan Rafiq Shaikh and 2 more

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Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

12 authors.

Yashar MashayekhiMedicine, University Hospitals of Leicester NHS Trust, Leicester, GBR.
Chinenye IguhMedicine, Windsor University School of Medicine, Cayon, KNA.
Sara Baba-AissaGeneral Internal Medicine, Leicester Royal Infirmary, Leicester, GBR.
Mishal IqbalMedicine, Army Medical College, Islamabad, PAK.
Tejashree NidigintiGeneral Internal Medicine, Calderdale and Huddersfield NHS Foundation Trust, Huddersfield, GBR.
Rabia JalaliInternal Medicine, Jinnah Medical and Dental College, Karachi, PAK.
Ali A KashmoolaOtolaryngology - Head and Neck Surgery, University of Sharjah, College of Medicine, Sharjah, ARE.
Mutaz M AbualhabOtolaryngology - Head and Neck Surgery, University of Sharjah, College of Medicine, Sharjah, ARE.
Racha Al NiaziOrthodontics, Dubai Health, Dubai, ARE.
Ayaan Rafiq ShaikhInternal Medicine, New Vision University, Tbilisi, GEO.
Jerin Xavier PolackalInternal Medicine, New Vision University, Tbilisi, GEO.
Ramsha ZahidInternal Medicine, Combined Military Hospital, Quetta, PAK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSmall fiber neuropathy (SFN) is a widely encountered and underdiagnosed complication of diabetes, which is linked with severe agony and loss of quality of life due to the proximity of neuropathic pain, autonomic dysfunction, and sensory problems. Despite its established judgments as a complication, there is limited literature on its consequences and impact on symptoms in patients with diabetes, especially in Pakistan. This research aims to identify the degree of SFN and its burden on symptoms among individuals with diabetes through the Small Fiber Neuropathy Symptoms Inventory Questionnaire (SFN-SIQ).

methodsThis cross-sectional study was conducted between January and June 2025, involving a sample population of 300 patients with diabetes from the outpatient diabetes and endocrinology units in the Combined Military Hospital (CMH) Quetta. The SFN-SIQ, together with the Douleur Neuropathique Questionnaire (DN4), was used to determine neuropathic pain, along with incorporating demographic information into a structured questionnaire. The descriptive statistics, Spearman correlation, and non-parametric testing were used in the analysis of the data.

resultsThe study population mostly comprised men (266 men, 89%), with a median age of 60 years or older. The results found significant positive correlations between SFN-SIQ and diabetes-related measures such as duration, type of diabetes, and complications (r = 0.26-0.29). It was observed that females had a greater burden of SFN symptoms compared to males (p = 0.004). Symptoms of SFN are highly related to smoking (p = 0.003), family history of diabetes (p = < 0.001), and the existence of diabetes-related complications (p = 0.001). Type of diabetes, duration, treatment, complications, smoking, and family history were strong predictors of SFN symptom burden, found in the regression analysis (p < 0.01).

conclusionIn this study, a substantial burden of SFN symptoms among patients with diabetes in Pakistan was found, and there were essential relationships between both symptom severity and diabetes-related factors. The results confirm that early diagnosis and treatment of SFN are crucial in enhancing patients' quality of life and minimizing the long-term effects of diabetes. Regular screening of SFNs in diabetes care centers can contribute to early detection and better treatment of symptoms.

Indexed as

diabetesneuropathic painrisk factorssfn-siqsmall fiber neuropathy

Identifiers

PMID41035812
PMCPMC12482043

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