Are you evaluating a patient for evidence of small fiber neuropathy?

Does the patient have?

• problems detecting a pinprick?

• thermal sensory loss?

• allodynia?

• hyperalgesia?

• an abnormal thermal threshold (warming or cooling) at the foot by quantitative sensory testing?

• decreased intra-epidermal nerve fiber (IEFN) density in a skin biopsy from the lower leg?

• absent deep tendon reflexes (DTR)?

• proprioceptive sensory loss?

• vibratory sensory loss?

• sensory loss to light touch?

• any signs of motor fiber impairment?

• any abnormality on sensorimotor nerve conduction study (NCS)?


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