--consistently showed reduced intraepidermal nerve fiber density at both thigh and ankle, and my symptoms were body wide in the most acute phase of my neuropathy. Technically, the symptoms still are body wide in that i am prone to compressive effects anywhere in the body although I am much less symptomatic than during the acute phase ten years ago, and my subsequent skin biopsies have reflected this, showing some degree of re-enervation in both places.

It is true that many doctors are unaware of non-length dependent small-fiber neuropathy as an entity, but anyone with skin biopsy results as you described really need to be followed by a specialty center that is aware of the research in the field (i.e., Jack Miller in Chicago, Mass General, Cornell-Weill in NY, or Washington University, from whose website and neurological database the following links come from

http://neuromuscular.wustl.edu/antibody/sneuron.html

http://neuromuscular.wustl.edu/antib...uron.html#sfsn