Case 62: Small Fiber Neuropathy with Symptomatic Improvement on Immune Globulins

2019 ◽  
pp. 328-331
Author(s):  
Peter Novak
Keyword(s):  
Symptomatic Improvement ◽  
Small Fiber Neuropathy ◽  
Fiber Density ◽  
Autonomic Testing ◽  
Small Fiber ◽  
Epidermal Nerve Fiber Density ◽  
Immune Globulins ◽  
Sensory Fibers ◽  
Nerve Fiber Density ◽  
Epidermal Nerve Fiber

Autonomic testing revealed length-dependent small fiber neuropathy affecting sensory fibers. Repeated titer of acetylcholine ganglionic antibody was negative, but repeated epidermal nerve fiber density testing showed progressive deterioration. Symptoms improved with intravenous immune globulin therapy.

Case 77: Painful Small Fiber Neuropathy in Posttreatment Lyme Disease Syndrome

2019 ◽  
pp. 390-393
Author(s):  
Peter Novak
Keyword(s):  
Lyme Disease ◽  
Orthostatic Hypotension ◽  
Autonomic Failure ◽  
Small Fiber Neuropathy ◽  
Cerebral Hypoperfusion ◽  
Supine Hypertension ◽  
Autonomic Testing ◽  
Small Fiber ◽  
Immune Globulins ◽  
Sensory Fibers

This case illustrates autonomic failure in painful post-Lyme disease syndrome. Autonomic testing has shown supine hypertension, orthostatic hypotension, and hypocapnic cerebral hypoperfusion (HYCH). Small fiber neuropathy was painful, affecting sensory fibers. Patient noted improvement in the pain by about 40% after 12 month of intravenous immune globulins.

scholarly journals Epidermal nerve fiber density, oxidative stress, and mitochondrial haplogroups in HIV-infected Thais initiating therapy

AIDS ◽  
2014 ◽  
Vol 28 (11) ◽  
pp. 1625-1633 ◽  
Author(s):  
Todd Hulgan ◽  
Rebecca T. Levinson ◽  
Mariana Gerschenson ◽  
Nittaya Phanuphak ◽  
Jintanat Ananworanich ◽  
...  
Keyword(s):  
Oxidative Stress ◽  
Nerve Fiber ◽  
Mitochondrial Haplogroups ◽  
Fiber Density ◽  
Epidermal Nerve Fiber Density ◽  
Nerve Fiber Density ◽  
Epidermal Nerve Fiber

scholarly journals Ethnic differences in epidermal nerve fiber density

2013 ◽  
Vol 48 (3) ◽  
pp. 462-464 ◽  
Author(s):  
Cecilia M. Shikuma ◽  
Justin C. McArthur ◽  
Gigi J. Ebenezer ◽  
Jintanat Ananworanich ◽  
Nipat Teeratakulpisarn ◽  
...  
Keyword(s):  
Nerve Fiber ◽  
Ethnic Differences ◽  
Fiber Density ◽  
Epidermal Nerve Fiber Density ◽  
Nerve Fiber Density ◽  
Epidermal Nerve Fiber

scholarly journals Distinctive low epidermal nerve fiber density in schwannomatosis patients provides a major parameter for diagnosis and differential diagnosis

2019 ◽  
Vol 30 (2) ◽  
pp. 386-391 ◽  
Author(s):  
Said C. Farschtschi ◽  
Lan Kluwe ◽  
Gerhard Schön ◽  
Reinhard E. Friedrich ◽  
Jakob Matschke ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Nerve Fiber ◽  
Fiber Density ◽  
Epidermal Nerve Fiber Density ◽  
Major Parameter ◽  
Nerve Fiber Density ◽  
Epidermal Nerve Fiber

scholarly journals Epidermal Nerve Fiber Density

1998 ◽  
Vol 55 (12) ◽  
pp. 1513 ◽  
Author(s):  
Justin C. McArthur ◽  
E. Adelaine Stocks ◽  
Peter Hauer ◽  
David R. Cornblath ◽  
John W. Griffin
Keyword(s):  
Nerve Fiber ◽  
Fiber Density ◽  
Epidermal Nerve Fiber Density ◽  
Nerve Fiber Density ◽  
Epidermal Nerve Fiber
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