TY  - JOUR
A1  - Egenolf, Nadine
A1  - Altenschildesche, Caren Meyer zu
A1  - Kreß, Luisa
A1  - Eggermann, Katja
A1  - Namer, Barbara
A1  - Gross, Franziska
A1  - Klitsch, Alexander
A1  - Malzacher, Tobias
A1  - Kampik, Daniel
A1  - Malik, Rayaz A.
A1  - Kurth, Ingo
A1  - Sommer, Claudia
A1  - Üçeyler, Nurcan
T1  - Diagnosing small fiber neuropathy in clinical practice: a deep phenotyping study
JF  - Therapeutic Advances in Neurological Disorders
N2  - Background and aims:
Small fiber neuropathy (SFN) is increasingly suspected in patients with pain of uncertain origin, and making the diagnosis remains a challenge lacking a diagnostic gold standard.
	
Methods:
In this case–control study, we prospectively recruited 86 patients with a medical history and clinical phenotype suggestive of SFN. Patients underwent neurological examination, quantitative sensory testing (QST), and distal and proximal skin punch biopsy, and were tested for pain-associated gene loci. Fifty-five of these patients additionally underwent pain-related evoked potentials (PREP), corneal confocal microscopy (CCM), and a quantitative sudomotor axon reflex test (QSART).
	
	
Results:
Abnormal distal intraepidermal nerve fiber density (IENFD) (60/86, 70%) and neurological examination (53/86, 62%) most frequently reflected small fiber disease. Adding CCM and/or PREP further increased the number of patients with small fiber impairment to 47/55 (85%). Genetic testing revealed potentially pathogenic gene variants in 14/86 (16%) index patients. QST, QSART, and proximal IENFD were of lower impact.
	
Conclusion:
We propose to diagnose SFN primarily based on the results of neurological examination and distal IENFD, with more detailed phenotyping in specialized centers.
KW  - algorithm
KW  - diagnosis
KW  - neurological examination
KW  - skin punch biopsy
KW  - small fiber neuropathy
Y1  - 2021
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-232019
SN  - 1756-2864
VL  - 14
ER  - 
TY  - JOUR
A1  - Krastl, G.
A1  - Weiger, R.
A1  - Filippi, A.
A1  - van Wees, H.
A1  - Ebeleseder, K.
A1  - Ree, M.
A1  - Connert, T.
A1  - Widbiller, M.
A1  - Tjäderhane, L.
A1  - Dummer, P. M. H.
A1  - Galler, K.
T1  - Endodontic management of traumatized permanent teeth: a comprehensive review
JF  - International Endodontic Journal
N2  - The pulp plays a key role in the treatment of traumatic dental injuries (TDIs) and is strongly associated with the outcome, particularly in severe cases. A correct pulp diagnosis is essential as it forms the basis for developing the appropriate management strategy. However, many TDIs are complex, and their treatment requires a profound knowledge of the physiological and pathological responses of the affected tissues. This comprehensive review will look at the dentine–pulp complex and its interaction with the surrounding tissues following TDIs. The literature up to 2020 was reviewed based on several searches on PubMed and the Cochrane Library using relevant terms. In addition to the recently revised guidelines of the International Association of Dental Traumatology, this article aims to provide background information with a focus on endodontic aspects and to gather evidence on which a clinician can make decisions on the choice of the appropriate endodontic approach for traumatized permanent teeth.
KW  - avulsion
KW  - diagnosis
KW  - tooth injuries
KW  - tooth fracture
KW  - endodontic management
KW  - dental trauma
Y1  - 2021
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-259412
VL  - 54
IS  - 8
ER  -