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Published on: January 11, 2019
Laboratory evaluation of peripheral neuropathy
Todd D Levine1, David S Saperstein
1Phoenix Neurological Associates, University of Arizona College of Medicine, 5090 North 40th Street, Suite 250, Phoenix, AZ 85018, USA.
Evaluating peripheral neuropathies requires a targeted approach. This strategy identifies treatable causes cost-effectively by analyzing clinical patterns over extensive testing.
Area of Science:
- Neurology
- Clinical Diagnostics
Background:
- Peripheral neuropathies have numerous acquired and inherited causes, complicating evaluation.
- Current diagnostic methods can be expensive and pose risks to patients.
Purpose of the Study:
- To present a targeted laboratory evaluation strategy for peripheral neuropathies.
- To enable identification of treatable neuropathies efficiently and safely.
Main Methods:
- Clinical pattern recognition is emphasized as a primary diagnostic tool.
- Laboratory tests are selected based on identified clinical patterns.
- This approach aims to avoid unnecessary diagnostic procedures.
Main Results:
- A pattern-based approach can define a manageable subset of underlying diseases.
- This method is often more effective than relying solely on electrodiagnostic studies.
- Leads to a more accurate and cost-effective laboratory evaluation.
Conclusions:
- Clinical pattern analysis is crucial for efficient peripheral neuropathy diagnosis.
- A thoughtful, pattern-driven approach optimizes laboratory evaluation for treatable neuropathies.
- Reduces patient cost and risk while improving diagnostic accuracy.
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