Hey Everyone, my name is Steve. I’m a 35 year old dad that works full time. I am hoping to get some advice as I am very confused given my test results. So here is the scoop. Three months ago I developed what appeared to be a small fiber neuropathy from what I think was a viral illness. It started as itching in my legs and morphed into painful paresthesias in hands and feet, shooting electrical pains in arms and legs, needle like pains legs and hands, and eventually burning feet. All the symptoms clinically point to SFN. It has been brutal-I took the pain without meds for about 2 months-then my feet felt like someone hit the with a sledge hammer. I started sobbing in the bed because the pain wouldn’t stop. It’s been the worst 3 months of my life. That being said-all my tests have come back negative and they have been extensive. Everything glucose related normal-vitamins normal-ANA normal-gluten normal, EMG normal, and whole bunch of other stuff. The only one that was indicative and neuropathy tilt table test-showing autonomic neuropathy. I finally pushed to have a skin biopsy done to confirm SFN. I was 95% sure it would show SFN-it was normal! Not sure how I feel about all of it given I still have the symptoms and they are tough to live with. Anyone have any advice for this situation? One neurologist is ready to peg me with the “idiopathic” label which sucks. The other believes it may be autoimmune. Anyone had their skin biopsy come back negative even though they have all the symptoms? Thoughts? Thank you!