Characterizing and diagnosing peripheral neuropathy
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To the Editor: We read with interest the article by Dyck et al.,1 which emphasized 10 steps in characterizing and diagnosing patients with peripheral neuropathy. Dyck et al. first proposed the concept of "chronic inflammatory polyradiculoneuropathy(CIP),"2 and later revised it as "chronic inflammatory demyelinating polyradiculoneuropathy (CIDP),"3 which has been widely accepted. In diagnosing cases of CIDP, electrodiagnostic studies are particularly helpful in confirming segmental demyelination with multifocal conduction slowing, focal block, and temporal dispersion. We would ask the author whether a case with steroid-responsive CIP mentioned below, resembling CIDP but lacking evidence for demyelination, should be included in CIDP or not.
In December …
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