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POLYNEUROPATHY |
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hereditary / degenerative: |
progressive hypertrophic polyneuritis hereditary sensorimotor neuropathies (peroneal muscular atrophy, etc.)acute intermittent porphyria and other porphyrias hereditary pressure-sensitive neuropathy Refsum's disease Tangier disease Fabry's disease Friedreich's ataxia Riley Day disease (III) and other hereditary sensory neuropathies (I, II, IV) ataxia-telangiectasia olivopontocerebellar atrophy mitochondrial encephalopathy (various forms)infantile neuraxonal dystrophy Niemann-Pick disease Hallervorden-Spatz disease Bassen-Kornzveig syndrome Canavan's disease Krabbe's disease Pelizaeus-Merzbacher disease giant axonal neuropathy metachromatic leukodystrophy adrenoleukodystrophy 'neuropathy of old age' |
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vitamin deficiencies: |
B 1 (thiamine)B 2 (riboflavin)niacin (nicotinic acid)B 6 (pyridoxine)B 12pantothenic acid E folate generalised malnutrition |
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toxic: |
lead alcohol heroin cocaine mercury acrylamide sodium cyanate N-hexane (glue-sniffing)ethylene oxide (used for sterilisation)hexachlorophene carbon disulphide (cellophane film) |
carbon tetrachloride aniline dyes triorthocresyl phosphate (TOCP) ('Jake leg paralysis') and other organophosphate insecticidesarsenic thallium methyl bromide (fire extinguishers)dichlorophenoxyacetic acid (herbicide)tick paralysis cyanide (eg. cassava plant) |
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drugs: |
chloroquine phenytoin vinca alkaloids cis-platinum hydralazine thalidomide amitryptiline clioquinone emetine butazolidine N2O (long-term) |
isoniazid ethionamide dapsone gold pyridoxine amiodarone nitrofurantoin metronidazole glutethimide disulfiram |
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associated with infection: |
following influenza, measles, HIV, polio, typhoid diphtheria (exotoxin)leprosy tick paralysis |
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'dysimmune': |
Guillain-Barre syndrome paraproteinemia chronic (relapsing) inflammatory polyradiculoneuropathy (chronic GBS) |
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vasculitis: |
polyarteritis nodosa and Churg-Strauss syndrome rheumatoid arthritis systemic lupus erythematosus giant cell arteritis hypersensitivity angiitis systemic sclerosis Sjogren's disease Wegener's granulomatosis relapsing polychondritis essential polycythaemia 'isolated' peripheral nerve vasculitis |
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metabolic: |
acromegaly renal failure hepatic failure sarcoidosis recurrent hypoglycaemia |
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malignant disease (paraneoplastic syndrome or compression/infiltration): |
bronchial and other carcinoma lymphoma leukaemia multiple myeloma other tumours |
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other: |
chronic and extensive peripheral vascular disease idiopathic (up to 30%) |
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