Distal symmetric polyneuropathy is the most frequent form of neuropathies of lower extremities in diabetes mellitus.
The characteristic feature for this pathology is the primary diffuse axonopathic degenerative process that progesses following a fiber-length dependent pattern, with predominant sensory and autonomic manifestations.
However, other forms of diabetic neuropathies of lower extremity are not infrequently, such as focal and multifocal neuropathies that often take its course imperceptibly against the background of distal symmetric polyneuropathy. As the result they bring on stable disordered motor functions, even so, impairing clinical course and prognosis for diabetic polyneuropathies of lower extremities.
In this review the most frequent focal neuropathies of lower extremities at a diabetes mellitus are demonstrated: fibular syndrome, tarsal syndrome, a proximal amyotrophy and meralgia paraesthetica