Journal of the Association of Physicians of India, 40 (4), 268-269 (1992). Massey, E. W., Arsenic neuropathy. Neurology, 31 (8), 1057-1058 (1981). Ott, M. G., Holder, B. B. and Gordon, H. [consultox.com]

Am Fam Physician. 1998 Feb 15;57(4):755-764. The diagnosis of peripheral neuropathies can be frustrating, time consuming and costly. [aafp.org]

The products are intended for educational use to build the knowledge of physicians and other health professionals in assessing the conditions and managing the treatment of patients potentially exposed to hazardous substances. [atsdr.cdc.gov]

These medications may have side effects and should be closely monitored by a physician. Physical therapy can enhance your balance, strength and safety. Braces may be needed to help with extreme muscle weakness and instability. [oncolink.org]

(e.g. arsenic trioxide) is present in air, usually due to volcanic eruption and purposeful human activities Arsenic also found as sulphuric compound in lead, copper, nickel and ferrous ores; also in soil in small quantities Also a medicinal used by physicians [pathologyoutlines.com]

This market-leading text covers everything from basic examination and psychological assessment to electrodiagnosis, therapeutic exercise, orthotics and assistive devices, and in-depth clinical management of the full range of childhood disabilities and [books.google.com]

The disorder does not usually cause life-threatening complications, but it can be uncomfortable or disabling. [medlineplus.gov]

According to US governmental agencies, mercury and other heavy metals cause adverse health effects and learning disabilities in millions of people in the United States each year. The elderly and children are especially susceptible. [nervedoctor.info]

If the cause cannot be corrected, treatment focuses on minimizing disability and pain. Physical and occupational therapists can recommend useful assistive devices. [merckmanuals.com]

Heavy metals, solvents and pesticides, among other chemicals, may induce such disability. [file.scirp.org]

feet syndrome with worsening of symptoms at night Cranial nerve involvement is very common (especially of the oculomotor and abducens nerve ) Trophic skin changes ; (due to autonomic neuropathy ): anhidrosis ;, edema, ulcers Autonomic features: erectile [amboss.com]

Tricyclic antidepressants such as amitriptyline or anticonvulsants such as gabapentin are useful for relief of neuropathic pain (eg, diabetic burning feet). [merckmanuals.com]

For example, painful, burning feet may be a symptom of alcohol abuse, diabetes, HIV infection, or an underlying malignant tumor, among other causes. Without further details, effective treatment would be difficult. [medical-dictionary.thefreedictionary.com]

[…] unusually rapid heart beat (tachycardia); low levels of iron within the red blood cells (anemia); bluish discoloration (cyanosis) of the skin and mucous membranes due to insufficient oxygen supply to these tissues; and/or an impaired sense of smell (anosmia [rarediseases.org]

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COBALT POISONING Cobalt, used in making jet engines, may cause nausea, vomiting, lack of appetite (anorexia), ear ringing (tinnitus), nerve damage, respiratory diseases, an unusually large thyroid gland (goiter), and/or heart and/or kidney damage. [rarediseases.org]

Chronic exposure is associated with mucosal irritation, desquamating rash, myalgias, peripheral neuropathy, and white transverse (Mees) lines in the fingernails. (Adams et al., Principles of Neurology, 6th ed, p1212) [xmri.com]

Chronic exposure is associated with mucosal irritation, desquamating rash, myalgias, peripheral neuropathy, and white transverse (Mees) lines in the fingernails. [connects.catalyst.harvard.edu]

Malnutrition and alcohol abuse Burning, stabbing pains and numbness in the feet, and sometimes in the hands, are distinguishing features of alcoholic neuropathy. [medical-dictionary.thefreedictionary.com]

Causes of generalized weakness include motor neuron disease, disorders of the neuromuscular junction and myopathy. Peripheral neuropathy can also be mimicked by myelopathy, syringomyelia or dorsal column disorders, such as tabes dorsalis. [aafp.org]

Five days after ceasing to take this medication, he experienced bilateral arm weakness and hand paresthesia. Weakness in both legs developed 2 days later, and finally, he found it difficult to raise either arm, to walk and to climb steps. [jstage.jst.go.jp]

Access full-color images and more than 90 online-only topics at Expert Consult, as well as EBMs, Suggested Reading, Patient Teaching Guides, and additional algorithms. [books.google.com]

Acute neuropathies suggest an autoimmune cause, vasculitis, a toxin, an infection, or a postinfectious cause or possibly a drug or cancer. [merckmanuals.com]

In three patients, early electrodiagnostic testing demonstrated findings suggestive of an acquired segmental demyelinating polyradiculoneuropathy. Serial testing confirmed evolution into features of a distal dying-back neuropathy. [experts.umich.edu]

Drug review did not suggest a neurotoxic side effect from any supportive medication. [bloodjournal.org]

The common symptoms are as follows: numbness and/or tingling of extremities; burning or electric pain; dysesthesia; trouble with balance; dizziness; vision changes; and so on. [synapse.koreamed.org]

Small-fiber neuropathies often present with burning pain, lightning-like or lancinating pain, aching, or uncomfortable paresthesias (dysesthesias). [aafp.org]

Loss of function “- symptoms” Disordered function “ symptoms” Sensory “Large Fiber” Vibration Proprioception Hyporeflexia Sensory ataxia Paresthesias Sensory “Small Fiber” Pain Temperature Dysesthesias Allodynia The clinical response to sensory nerve [slideshare.net]

Sensory effects, particularly painful dysesthesia, occur earlier and may predominate in moderate poisoning, whereas ascending weakness and paralysis may predominate in more severe poisoning. [lectrochi.com]

In addition to sensory loss, patients often complain of paresthesias and dysesthesias, often characterized by a sense of numbness, tingling, prickling, and pins-and-needles sensations. [clevelandclinicmeded.com]

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There were no signs of meningeal irritation and systemic examination did not reveal any abnormality. Investigations revealed anemia with hemoglobin of 10.3 gm%. [annalsofneurosciences.org]

View/Print Table TABLE 4 Neuropathies with Less Common Patterns of Involvement Neuropathies with cranial nerve involvement Diabetes mellitus Guillain-Barré syndrome HIV/AIDS Lyme disease Sarcoidosis Neoplastic invasion of skull base or meninges Diphtheria [aafp.org]

decreased ankle reflexes is less valuable for diagnosis. [aafp.org]