|"Tests usually done by a doctor for neuropathy" |
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)
· 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
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