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Can PN have multiple causes?

Neuropathy | Last Active: Jun 11, 2023 | Replies (20)

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@njed

Deb, my report from Mayo in MN says my axonal sensorimotor PN is connected to both large fiber and small fiber neuropathy. Idiopathic, of course with no autonomic at that time. Not so sure now. I am not sure about different causes or one cause and various symptoms. Confusing for sure!

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Replies to "Deb, my report from Mayo in MN says my axonal sensorimotor PN is connected to both..."

Ed - It sure is confusing. New appointment in new state last week to get established (or re-established after 6 years), and the Neurologist asked for my current symptoms... I mentioned cold (and sometimes heat) intolerance in hands/feet, finger/toes, and she abruptly stopped me & said they weren't symptoms of neuropathy, and that she would just read off a list of symptoms and I can answer yes or no if I have them. I was absolutely befuddled, but at the end of her checklist, I told her "Look, I am very sorry, but at the very start of this PN in 2016, I wore gloves & socks to bed every night, and usually during the day for 4 months (unless a hot flash extreme came on), as it took that long for the Gabapentin to help make the cold/heat intolerance bearable. I politely told her I had a hard time believing that wasn't on the list! She acquiesced and said OK, and her visit notes listed it. But what I was really wondering afterward was if this heat/cold extremity intolerance was a symptom of SFN not "Axonal" (or vice versa), and maybe a reason why she wasn't expecting me to list it. Maybe just an irrelevant moment, but as you now, we're all trying to figure it out.