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"Tests usually done by a doctor for neuropathy"

by: Imran Khan, M.BBS |August 15, 2012

Axonal  Polyneuropathy changes in EMG (Link)      EMG/NCV section Learn aboutthe Brain

 Learn Nerve physiology    Most diabetic neuropathy is CIDP

Vitamin B12 and B6 ( routine), in selected case (thiamine , E and niacin)  Thiamine deficiency, in particular, is common among people with alcoholism because they often also have poor dietary habits. Thiamine deficiency can cause a painful neuropathy of the extremities

     Thyroid, liver and kidney functions ( TSH)  which will suggest autoimmune disease

     Vasculitis evaluation  ( CRP or Sed rate) .

     Oral glucose tolerance test  or hemoglobin A1C

     Antibodies to nerve components (.anti-MAG, anti-GM1, anti-Sulfatide,  anti-GALOP, Anti-GQ1b) do not do if NCV is positive for neuropathy

     Antibodies related to celiac disease  avoid if patient has low Vitamin D and low iron levels that already points towards Celaic

     Lyme disease , (Borrelia burgdorferi antibodies)

     HIV/AIDS

     Syphilis, (RPR)

     Hepatitis C and B (Anti-HCV (antibody to HCV))

     Not a routine test only for those exposed to Heavy metals  screen for (arsenic, lead, mercury, thallium).

     anti-Hu ( antibody for a pure sensory neuropathy underlying malignancy)

     SPEP (For Myeloma)

      Only for those patients going on IVIg treatment IgA level  ( prevent anaphylaxis), IgG level, IgG subclass levels

 For help see services section link above

I. Khan