Painful small-fiber neuropathy in Sjögren syndrome

Of 20 consecutive patients with Sjögren neuropathy, 16 (80%) presented with burning feet and 12 (60%) with non-length-dependent sensory symptoms. Leg and thigh skin biopsies, performed in 13 patients, including 7 with normal electrophysiology, showed either reduced epidermal nerve fiber (ENF) densit...

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Veröffentlicht in:Neurology 2005-09, Vol.65 (6), p.925-927
Hauptverfasser: CHAI, J, HERRMANN, D. N, STANTON, M, BARBANO, R. L, LOGIGIAN, E. L
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Sprache:eng
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Zusammenfassung:Of 20 consecutive patients with Sjögren neuropathy, 16 (80%) presented with burning feet and 12 (60%) with non-length-dependent sensory symptoms. Leg and thigh skin biopsies, performed in 13 patients, including 7 with normal electrophysiology, showed either reduced epidermal nerve fiber (ENF) density or abnormal morphology. ENF loss was frequently non length dependent, suggesting that patients with this disorder commonly have a small-fiber sensory neuronopathy rather than a "dying-back" axonopathy.
ISSN:0028-3878
1526-632X
DOI:10.1212/01.wnl.0000176034.38198.f9