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NCT04759443Recruiting

Detection of Small Fiber Neuropathy Using Skin Properties

Brigham and Women's Hospital

Start Date

7/1/2021

Completion Date

2/1/2027

Summary

Small fiber neuropathy affects millions of peoples worldwide. The neuropathy is causing disabling burning pain and dysautonomia such as dizziness with standing, brain fog, fatigue, constipation, too much or too little sweating. The detection of nerve damage is complicated and not widely available; it requires either skin biopsy or specialized equipment and training. This project utilizes the mathematical processing of skin pictures for the purpose to extract the statistical features related to loss of small fibers. This approach can improve the availability of diagnosis of small fiber neuropathy.

Detailed Description

Small fiber neuropathy, including cardiovascular diabetic neuropathy, affects millions of peoples worldwide. The neuropathy is causing disabling burning pain and dysautonomia such as dizziness with standing, brain fog, fatigue, constipation, urinary problems and cold or hot intolerance. Early and accurate diagnosis of neuropathy is essential for correct treatment. Available diagnostic methods are either invasive such as skin biopsy or available only in few specialized centers. This project addresses the limited availability of small fiber neuropathy detection. The project utilizes utilize specialized image processing of skin pictures for the purpose to extract the statistical features that are related to loss of small fibers. The accuracy of the diagnosis verified using skin biopsies. This approach can improve the availability of diagnosis of small fiber neuropathy.

Eligibility Criteria

Age Range: 18 years to No maximum

Inclusion Criteria: * Patients with age 18 year or older * Patients that sign the informed consent form to participate in this study * Patients completed the autonomic testing with skin biopsies Exclusion Criteria: * Patients with significant hairs at the legs that will cover the skin * Any dermatological disorder that can affect the skin composition * The use of skin lotion

Interventions

OTHER

Image processing of skin

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Conditions

Small Fiber Neuropathy

Locations

Brigham and Women's Faulkner Hospital

Boston, Massachusetts 02130

United States