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Old 03-01-2008, 10:39 AM #1
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This is a long shot and I would think your doc did test you for this. Most of the rarer sequela do not appear neurological except for transverse myelitis....there is also that osteomyelitis possibility...Like I said this is a long shot, but animal bites and scratches, with symptoms developing afterwards, are always suspect. You indicated that you had an infection and I wonder if they cultured the wound for any organism?

http://www.emedicine.com/emerg/topic84.htm

Glenn is utterly correct when he says that a lot of SFN never progresses past burning sensations in the feet, and hopefully, the disease process will stop and begin to reverse.
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Old 03-01-2008, 11:17 AM #2
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Skin Punch biopsy depends on the doc.
I had one done on the 2nd visit to my neuro at Johns Hopkins.
Not being a diabetic, I guess its part of the intake diagnostic procedure.
Mine was taken at 3 sites- ankle, calf & upper leg towards the hip.
A positive result of SFN - axonal, sensory, length dependent, polyneuropathy.
Good news/bad news.
Nerve regrowth is evident.
Nerve degeneration is faster than the regrowth.
Treatment?
Rx's for pain & symptoms, check-ups annually at first, as needed- later.
My PCP is also part of the Hopkins system (as well as all of my docs)
& she is the one that follows-up.
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Old 03-01-2008, 04:58 PM #3
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Sorry about the link that doesn't work....I have a professional registration and I guess you can't just link....anyway, it refers to Cat Scratch Disease, Bartonella and a few other infections that cats pass on to humans, and some of them have neuro manifestations....

Again, I apologize for the link mess up. Darn, it was a good article...you may be able to bring it up on google.
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Old 03-01-2008, 09:49 PM #4
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Originally Posted by cyclelops View Post
This is a long shot and I would think your doc did test you for this. Most of the rarer sequela do not appear neurological except for transverse myelitis....there is also that osteomyelitis possibility...Like I said this is a long shot, but animal bites and scratches, with symptoms developing afterwards, are always suspect. You indicated that you had an infection and I wonder if they cultured the wound for any organism?

http://www.emedicine.com/emerg/topic84.htm

Glenn is utterly correct when he says that a lot of SFN never progresses past burning sensations in the feet, and hopefully, the disease process will stop and begin to reverse.
They did test me for cat scratch but they ruled that out. I didn't have much puss, but I was on antibiodics and that cleared it up, but my healing takes longer cause of the diabetes.

The report came back as polyneuropathy and this is what the doctor assumed that I got this from diabetes. I of course gave him my history with the diabetes... I never took care of myself until last year, so I guess I did do at least 9 years of damage to my nerves.

You don't know how bad I wish I had the SFN and it would reverse itself. But I am pretty sure this was caused by diabetes and the damage is done.

Thanks,
Michele
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Old 03-01-2008, 04:03 PM #5
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This is what happened to me. Last Summer my new kitty cat scratched me on the top of my foot. About a week went by and it was very sore and hurt to walk on my foot. I went to the doctor and they lanced it. Not much puss came out of the sore, however 2 days later I could not walk on my feet. They both hurt like hell.
I went to my pcp and he said he didn't know what was wrong with my feet and why they are hurting. Meanwhile I am bawling my head off because it hurt. He said to me if you still hurt in a week come back and I'll give you a referal to a neurologist. I told him no, I need one now. In the meantime he gave me pain medicine to hold me over until I could see the neuro.
About 1 week later with this foot pain, my back went out. Now it was very difficult to walk because the feet and the back was hurting bad. I saw a pain specialist and he blocked a nerve, but that only lasted 12 hours of relief so that didn't work.
I had an MRI done of my neck & spine. In the meantime I am waiting for my neuro appt. So from the time the pain started I got to see the neuro about 5 weeks later. He did the nerve test. I am not sure what the name was. But, he put the needles and it would shock my muscles. He sais he got a little bit of nerve damage so he wanted me to get a punch biopsy done. I told him I had diabetes for about 10 years, didn't get serious with the disease until last year....... when I got my results back he said I got the neuropathy from my diabates.
My new neurologist just gave me a MRI of the spine, did some blood work, sending me to a gastro doctor because of my diareaha that I have had for 3 weeks and the wierd feeling I am feeling in my abdominal wal. I am also having sharp burning pains that are now shooting through my back, legs and arms, oh yea also my butt. Also going to find out if I have sleep apnea. But I don't have any tingiling, or numbness... just the burning sharp pain. Does this mean these things will come later? If I could have the numbness then the pain would go away, would that be right? This pain is the worst that I have ever felt and I can't stand it!!

Michele
Can you please clarify? You had NO symptoms before the infected cat scratch?
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Old 03-01-2008, 09:41 PM #6
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Can you please clarify? You had NO symptoms before the infected cat scratch?
The only thing I had was just pain in my heels before the cat scratch, but I didn't think nothing of it. It wasn't bad pain, just a little bothersome. After they lanced the cat scratch is when the pain came on both feet.

Thanks,
Michele
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Old 02-29-2008, 08:28 PM #7
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I had a nerve/muscle biopsy, but before I had it I had tons of blood tests....some showed I was low on L-Carnitine, Vitamin D, iron and B-12 and had LOTS of pain in my arms and legs and had every test imaginable that came back ok.......then I had the biopsy.
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Dx'd with Spinal Arthritis 09
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