Re: Poly Neuropathy
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Posted by CCF NEUROLOGY MD on June 12, 1997 at 11:12:43:
In Reply to: Poly Neuropathy posted by Lesley Mattuchio on June 04, 1997 at 19:25:27:
: My Dad has PN and it is progressing very rapidly, from his feet up to his
kneesAnterior cruciate ligament (acl) injury
Anterior knee pain
Bursa of the knee
Dermatitis, herpetiformis on the knee
Knee arthroscopy
Knee arthroscopy - series
Knee joint replacement
Knee joint replacement prosthesis
Knee pain
Kneecap dislocation
Meniscus tears in less than a month. His Dr.s treated him with steroids after doing many neurological tests, but the steroids did not help. He has lost most of his mobility in his legs and has to use a walker. He has no appetite and has lost 30lbs. in the past 2 months. Please tell me anything you can about this disease and are his symptoms norm for PN. Thank you...a very worried daughter.
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I can understand your concern. The
rapidRapid shallow breathing progression of your dad's symptoms is not typical for run of the mill PN. There are a number of things that do cause a neuropathy over a fairly
rapidRapid shallow breathing time frame. These include
diabeticDiabetes education
Diabetes foot care
Diabetic blood circulation in foot
Diabetic emergency supplies
Diabetic expectorant
Diabetic foot care
Diabetic hyperglycemic hyperosmolar coma
Diabetic ketoacidosis
Diabetic nephropathy
Diabetic neuropathy
Diabetic retinopathy amyotrophy, uremic neuropathy, neuropathy due to
systemicSystemic lupus erythematosus
Systemic lupus erythematosus rash on the face disease such as
vasculitisNecrotizing vasculitis, sjogren's, lupus, paraprotenemia and as a secondary affect of systemic cancer. It can also be a side effect of chemotherapeutic medication, excessive pyroxidine intake (vit B6), deficient B12 (although usually slower in onset), and heavy metal poisoning. The list is an example of the few things that it could be. The two concerns I have is the rapid progression and weight loss. This is not uncommon for diabetic amyotrophy, but you did not mention if your dad was diabetic. What did the EMG show? There are many questions that need to be asked to rule out treatable causes. I would recommend and feel that it would be worth the effort, to find a well trained neuromuscular neurologist at a major
hospital. The weight loss also has to be investigated by a general internest/family MD, to rule out any underlying cancer or illness that may have not been discovered. I would continue searching for an answer for your dad's weakness. If the Cleveland Clinic may of assistance to you call 1-800-223-2273 ext 45559 for an appointment. I hope this has been helpful to you and your dad.
This information is provided for general medical education purposes only. Please consult your physician for diagnostic and treatment of your specific medical condition.