Characteristics of patients with sensory neuropathy diagnosed with abnormal small nerve fibres on skin biopsy.
case_series · Level IV
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- Record sourced from PubMed, PMID 16844956.
- Also identified by PMC identifier 2077610.
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Abstract
Clinical, laboratory and electrodiagnostic (EDX) characteristics of 62 patients with sensory neuropathy with abnormal skin biopsies were reviewed. Reduced epidermal nerve fibre density (ENFD) was seen in 71% and morphological changes with normal ENFD were seen in 29% of the patients. Patients with small fibre sensory neuropathy may have associated large fibre loss undetected by routine EDX. Identified associations included abnormal glucose metabolism, Lyme vaccination, monoclonal gammopathy, vitamin B12 deficiency, coeliac disease, and diseases of the connective tissue, inflammatory bowel and thyroid. Sensory neuropathy remained undetermined in 50% of the patients.
Medical subject headings
- Nerve Fibers
- Neurons, Afferent
- Peripheral Nervous System Diseases