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Autonomic Nervous system vs dysautonomia
Neuropathy | Last Active: Jun 1, 2022 | Replies (45)Comment receiving replies
I'm surprised the neurologist would not order a punch biopsy to help rule out or confirm a diagnosis. I'm pretty sure it's the gold standard but then I'm not a doctor and have no medical training or background. Is it possible to discuss it more with your neurologist and request a biopsy be done. Here's some background info on it's use....
"Can a skin biopsy detect neuropathy? -- Skin biopsy can show the presence of autonomic neuropathy by providing a semiquantitative assessment of the denervation of sweat glands (fig 2). This approach is more sensitive than functional examination of autonomic nerves using quantitative sudomotor axon testing." --- Skin biopsy: a new tool for diagnosing peripheral neuropathy - NCBI: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1885305/
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This neurologist is from somewhat of a large neurology group out of Tampa it's him and I think three other neurologists and when I informed him last week that I was being told about this small nerve fiber biopsy to rule out small nerve fiber neuropathies He said he nor the other three neurologists in his office do that test and that I would have to find a neurologist that does it. He gave me a name of a neurologist but of course I'm then starting all over again with a neurologist as a first time new patient and the wait list is like 5 months and I'm just so tired of this. I cannot believe that a large neurology office in Tampa Florida and they do not do this small nerve fiber biopsy test. It's just absolutely ridiculous I've been run ragged for almost 2 years now with being misdiagnosed one doctor says one thing and other doctor denies what the other doctor has for a diagnosis it's ridiculous and I'm stuck in the middle. You don't know how sick I am I'm just sick inside and out of it all. I feel like I'm just a dog chasing my tail with these doctors.