Criteria CIDPCIDP is diverse , it has been recently reported to involve cranial nerves, CNS and thus makeing guidelines and trying to fit this condition within them is not a easy task.AUTOIMMUNE EPIDEMIC
Complete detail re nerve biopsy Usually no nerve biopsy are needed for the diagnosis of CIDP from 2020 onwards it has become a clinical and NCV based diagnosis. Fibromyagia symproms can be mimicked by CIDP and to read more please start reading from our home page.
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Picture shows, High arched feet with shrinkage of muscles in the lower leg seen in Charcot Marie Tooth type inherited neuropathy.
Continued form Home PageCurrent standards; to diagnose CIDP do not recommend a nerve biopsy : As the skip lesions of CIDP may or may not be seen in; Sural nerve biopsy. After biopsy the patient may have a;sensory deficit. Which may be worse then the original disease. I have seen people who are worse off due to nerve;biopsy. Dr. Katz; in San Francisco has said that Leprosy may be the only reason to do a nerve biopsy. Finding of inflammation in the nerve biopsy, is rare, definitely will confirm the diagnosis of CIDP. However, the absence of inflammation does not rule out CIDP. Findings of; demyelination (loss of myelin around the nerve) on the nerve biopsy can be used to confirm the clinical presentation and; suggest a diagnosis of CIDP. We find the nerve biopsy unnecessary. According to Dr. Jonathan Katz the best test for CIDP is to give treatment and see if the patient responds to the treatment. (This saves time and money.)
Unless the person has Leprosy there is no value of a nerve biopsy results from clinical exam and NCV are enough for a clinical treatment decesion.