--the next step would be a rheumatology consult, if that is possible; those are the specialists who deal with anti-nuclear antibody related autoimmune conditons, many of which can certainly have neuropathy as a presenting symptom.

It would be helpful if they gave you and ENA--extratable nuclear antigen--test to see what pattern came up; different patterns correlate (though not always completely) to various autoimmune/vascular/collagen conditions.


See:


http://neuromuscular.wustl.edu/antib...html#vascassoc