RT Journal Article
SR Electronic
T1 Office approach to small fiber neuropathy
JF Cleveland Clinic Journal of Medicine
JO Cleve Clin J Med
FD Cleveland Clinic
SP 801
OP 812
DO 10.3949/ccjm.85a.17124
VO 85
IS 10
A1 Jinny O. Tavee
YR 2018
UL http://www.ccjm.org/content/85/10/801.abstract
AB Small fiber neuropathy is often characterized by neuropathic pain in the feet with normal nerve conduction studies and neurologic examination. Diagnosis requires specialized nerve tests, including autonomic studies and a skin biopsy study showing reduced intraepidermal nerve fiber density. Small fiber neuropathy has numerous causes but is often idiopathic. A practical approach to identifying an underlying cause is to first screen for common ones and then proceed with further testing as needed. Treatment consists of correcting the underlying cause, managing pain, and modifying lifestyle.