Barriere H, Litoux P, Bureau B, Guiheneuc P, Welin J
Sem Hop. 1975 Feb 20;51(9):595-9.
The authors review critically a series of cases, followed up by the authors, of acrodynia and trophic ulcers occurring either in alcoholics (119 cases) or in diabetics (28 cases), who were also often alcoholic as well. The symptoms were similar in both groups. However, the poor nutrition was generally more market in the alcoholics. The trophic disorders were very similar, together with the sensory disorders. However, the deep sensitivity was less rarely involved in diabetics. Above all, the study of the rate of conduction of the motor nerve fibers showed axonal involvement in alcoholics and segmental demyelinisation in diabetics. The treatment was mainly dietary, together with proper hygiene and immobilisation of the foot.
作者对一系列由他们随访的病例进行了批判性回顾，这些病例包括发生在酗酒者（119例）或糖尿病患者（28例，其中许多人也酗酒）身上的肢端痛和营养性溃疡。两组症状相似。然而，营养不良在酗酒者中通常更为明显。营养障碍与感觉障碍非常相似。然而，糖尿病患者较少累及深感觉。最重要的是，运动神经纤维传导速度的研究表明，酗酒者存在轴突受累，而糖尿病患者存在节段性脱髓鞘。治疗主要是饮食治疗，同时配合适当的卫生护理和足部固定。
