![]() While most cases of SFN present in a length-dependent pattern (symptoms beginning in the feet and advancing proximally), some cases have followed either a non-length-dependent (proximal, diffuse, or patchy distribution involving different body parts including the mouth, face, trunk, scalp, or upper limbs before or simultaneously with lower limb involvement) or an asymmetric mono/multiplex neuropathy (involvement of one or more sensory peripheral nerve, often with burning mouth syndrome, vulvodynia, or notalgia and meralgia parasthetica). ![]() Patients with SFN often present initially with sensory symptoms, including pain, burning, numbness, and tingling. A thorough history and physical exam are crucial in the evaluation of SFN.
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