Painful Neuropathies




(1)
Department of Anaesthesia, Royal Free Hospital, London, UK

 



Neuropathies can be divided into whether they affect large-diameter fibres or small-diameter fibres.















Painful neuropathies involving large fibres
Hypothyroidism

Painful neuropathies involving small fibres
Diabetes mellitus

Amyloidosis

Painful neuropathies involving nonselective fibres
Alcoholism


30.1 Hypothyroidism


Untreated thyroid insufficiency leads to axonal degeneration with demyelination. It presents with pain in the feet and difficulty in walking. Biopsies show decreased myelinated fibre densities with selective loss of Aβ fibres.

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Mar 20, 2017 | Posted by in PAIN MEDICINE | Comments Off on Painful Neuropathies

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