What is the Thomas system for classification of diabetic neuropathy?

Updated: Jan 17, 2020
  • Author: Dianna Quan, MD; Chief Editor: Romesh Khardori, MD, PhD, FACP  more...
  • Print

A classification system by Thomas [57] combines anatomy and pathophysiology. It is presented below with a few modifications:

  • Hyperglycemic neuropathy (acute)

  • Generalized symmetrical polyneuropathies

  • Sensory neuropathy

  • Sensorimotor neuropathy (chronic, symmetric)

  • Autonomic neuropathy (cardiovascular, gastrointestinal, genitourinary, sudomotor)

  • Focal and multifocal neuropathies: this category includes cranial neuropathy, proximal motor neuropathy (amyotrophy), thoracic or lumbar radiculopathies, and focal limb neuropathies (entrapment neuropathies)

  • Superimposed chronic inflammatory demyelinating polyneuropathy (CIDP)

Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!