Clinical Reasoning: A 41-Year-Old Man Presenting With Right Foot Tingling.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 41886714.
- Also identified by DOI 10.1212/WNL.0000000000214781.
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Abstract
The diagnostic evaluation of progressive, multifocal sensory neuropathy can be challenging and prone to misdirection without a broad differential diagnosis and a careful clinical history. We present a 41-year-old healthy man with insidious onset of right foot paresthesia, which gradually extended to his left foot and right hand over several months. This case illustrates a systematic clinical reasoning approach to multifocal neuropathy, culminating in the unexpected diagnosis of a treatable cause for neuropathy. The case underscores the importance of maintaining diagnostic openness to rare but treatable causes in the evaluation of atypical neuropathy presentations.
Medical subject headings
- Foot
- Clinical Reasoning
- Paresthesia
Anatomy
- foot