Diagne M, Gueye S M, Ba M, Konan P G, Diop A G, Ndiaye M M, Ndiaye I P, Mensah A
Département d'Explorations Foncitonnelles du Système Nerveux, CHU Fann Dakar, Sénégal.
Dakar Med. 1998;43(2):234-7.
The association between Peyronie's disease and diabetes mellitus or Dupuytren's disease is well described in the literature with a certain frequency. Through our 10 patients with Peyronie's disease, when have noticed that only one of them is undergoing diabetes mellitus and no one has Dupuytren's disease. But 7 of them presented clinical and/or electromyographical signs of peripheral neuropathy. So after clinical examination in neurology and urology, we performed measurement of motor conduction velocity of tibial posterior nerves and peroneal nerves, then, we measured sensitive vetocity of sural nerves and dorsal nerve of the penis and we studied the cortical somesthesic evoked potential of the internal hontous nerve and the sympathetic evoked response of the skin. So we hypothesize that peripheral neuropathy with or without autonomic disorders might be an etiological co-factor of Peyronie's disease.
佩罗尼氏病与糖尿病或掌腱膜挛缩症之间的关联在文献中有一定频率的详尽描述。通过我们所诊治的10例佩罗尼氏病患者,我们注意到其中仅有1例患有糖尿病,且无人患有掌腱膜挛缩症。但其中7例呈现出外周神经病变的临床和/或肌电图征象。因此,在进行神经科和泌尿外科的临床检查后,我们测量了胫后神经和腓总神经的运动传导速度,接着,我们测量了腓肠神经和阴茎背神经的感觉速度,并研究了尺神经的皮层体感诱发电位以及皮肤的交感诱发反应。所以我们推测,伴有或不伴有自主神经功能障碍的外周神经病变可能是佩罗尼氏病的一个病因协同因素。