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Old 10-04-2014, 10:27 PM #11
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I guess it is a catch all and they are not going to diagnose by physical exam.
No evidence of rash or discoloration.
Not sure what is going on with their diagnosis:disturbance of skin sensation.

Thanks so much.
My guess would be that "disturbance of skin sensation" might be a description for something like insurance coding. I used to always see "numbness" written in my records but I've never had numbness or described anything near it; I finally assumed that it was a word that just fit neatly in whatever checklist they were using.
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Old 10-05-2014, 12:02 PM #12
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So, how soon will the damage show up on a skin biopsy?
It may be too soon for fiber density to be significantly and abnormally low...but the condition of the fibers them self, might (and I think likely would) show swelling and/ or segmented & tortuous fibers...and indication that nerve damage exists.

If it's in the dorsal root, you may not find proof just yet.
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Old 10-05-2014, 12:10 PM #13
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Dear baba222,

I know that you have several threads and I did NOT go back and read the others so my comments are limited to THIS thread ONLY. Because I am not up to date on any other history of information you may have previously provided, my response here may not be relevant but here it is based only on this tread.

First let me say that the terminology skin "disturbance" is NOT the same as skin "condition".

The word "disturbance" is a very general term and may be applied to a great many conditions in different areas of medicine.

A skin "disturbance" could be neurological. It could be dermatological. It could be many various things and I personally think that the doctor was being very generalized because the etiology of your symptoms are unknown, limited to sensory skin and you do not have muscular involvement.

If you google skin disturbance, you get ICD 9 code of 782.0 and ICD-10 code of R20.

There are many neuropathies that do not involve the muscles and only affect the sensory nerves which are found in skin. This is why an EMG and an NCS would be normal.

Finding the cause of your "skin disturbance" can be a long and difficult road and will include many tests to rule out other possibilities. Just because some tests come back normal does not mean you do not have legitimate symptoms. It simply means certain conditions may be ruled out and guide the physician (acting as a detective many times) down other roads of possibilities. One of those roads is a skin biopsy.

There are a lot of questions I would ask but you may have already answered in your other threads, like what are your symptoms, what body parts are affected, etc. but I won't now.

Even after all possible tests have been performed, you may still not have an answer as to what is causing your symptoms. It will then be termed idiopathic, meaning of unknown origin.

Good luck in finding a diagnosis more specific than "skin disturbance" and a cause. Some neurological conditions do affect only the sensory nerves and not motor nerves.

"Skin disturbance" includes paresthesia and many other neurological symptoms.

Good luck to you.
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Old 10-06-2014, 11:41 AM #14
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Hi baba222,

Just wanted to add one more comment that I failed to mention in my earlier post.

There are 12,512 causes listed for "skin disturbances", symptoms and sensations. (Maybe more.) And that number may not include all disciplines of medicine.

This is why I said the physician must play "detective" and why the cause of your symptoms may be unknown (idiopathic).

Good luck.
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