Chronic Conditions

Patients with some frequency present to the ED with neuropathy associated with an underlying condition. Many are of a chronic nature, and a few are subacute. Most of these do not present acute management issues. However, conditions such as syphilis, Lyme disease, and vitamin B 12 deficiency benefit from early detection. A

detailed discussion of neuropathies associated with underlying medical illness is worthy of an entire text. The interested reader is referred to standard neurology texts.5 T,a..ble.,2.2,5.-2. shows the expected presentations for some diseases associated with peripheral neuropathies.

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