From the Royal Navy General Duties Medical Officer, RFA ARGUS, UK.
Department of Bioengineering and Department of Surgery and Cancer, Imperial College, London, UK.
QJM. 2017 Mar 1;110(3):131-139. doi: 10.1093/qjmed/hcw195.
'Burning Feet Syndrome' affected up to one third of Far Eastern Prisoners of War in World War 2. Recently discovered medical records, produced by RAF Medical Officer Nowell Peach whilst in captivity, are the first to detail neurological examinations of patients with this condition.
The 54 sets of case notes produced at the time were analysed using modern diagnostic criteria to determine if the syndrome can be retrospectively classed as neuropathic pain.
With a history of severe malnutrition raising the possibility of a peripheral polyneuropathy, and a neuroanatomically plausible pain distribution, this analysis showed that Burning Feet Syndrome can now be described as a 'possible' neuropathic pain syndrome.
After 70 years, the data painstakingly gathered under the worst of circumstances have proved to be of interest and value in modern diagnostics of neuropathic pain.
“火烧脚综合征”影响了二战期间多达三分之一的远东战俘。最近发现的由 RAF 军医诺埃尔·皮奇(Nowell Peach)在被俘期间所写的医疗记录,是首批详细记录此类病症患者神经检查的记录。
当时共产生了 54 套病例记录,使用现代诊断标准进行分析,以确定该综合征是否可以回溯性地归类为神经性疼痛。
鉴于严重营养不良的病史可能导致周围性多发性神经病,以及神经解剖学上合理的疼痛分布,该分析表明,“火烧脚综合征”现在可以被描述为一种“可能”的神经性疼痛综合征。
70 年后,在最恶劣的环境下艰苦收集的数据,在神经性疼痛的现代诊断中被证明具有意义和价值。