Saturday, 2 July 2011

Peripheral neuropathy

These patients will complaint of numbness in hands and feet that progresses proximally in a distribution classically termed as 'glove &stocking'
Causes:
  1. Idiopathic (most common)
  2. Diabetes mellitus
  3. Vit B12,E deficiencies
  4. Carcinoma
  5. Drugs eg : isoniazid,dapsone,vinca alkaloids,cisplatin, gold, metronidazole
  6. Paraproteinemias eg : myeloma
  7. Rare causes like amyloidosis,GBS,sarcoidosis etc
Investigation of choice:
             Nerve conduction studies

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