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NEUROLOGY 2005;65:925-927
© 2005 American Academy of Neurology


Brief Communications

Painful small-fiber neuropathy in Sjögren syndrome

J. Chai, MBBS, MRCP(UK), D. N. Herrmann, MBBCh, M. Stanton, MD, R. L. Barbano, MD, PhD and E. L. Logigian, MD

From the Department of Neurology, University of Rochester, NY.

Address correspondence and reprint requests to Dr Logigian, Department of Neurology, University of Rochester School of Medicine and Dentistry, Box 673, 601 Elmwood Ave., Rochester, NY 14642; e-mail: eric_logigian{at}urmc.rochester.edu

Of 20 consecutive patients with Sjögren neuropathy, 16 (80%) presented with burning feet and 12 (60%) with non-length-dependent sensory symptoms. Leg and thigh skin biopsies, performed in 13 patients, including 7 with normal electrophysiology, showed either reduced epidermal nerve fiber (ENF) density or abnormal morphology. ENF loss was frequently non length dependent, suggesting that patients with this disorder commonly have a small-fiber sensory neuronopathy rather than a "dying-back" axonopathy.


Disclosure: The authors report no conflicts of interest.

Received March 15, 2005. Accepted in final form June 8, 2005.




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