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Small-fibre neuropathies and skin: news and perspectives for dermatologists.
[fabry disease]
Small
-fibre
neuropathies
(
SFNs
)
can
be
defined
as
diseases
of
small
nerve
fibres
.
Because
their
symptoms
are
mainly
located
in
the
skin
in
the
initial
stages
,
dermatologists
may
frequently
be
confronted
with
these
diseases
.
Moreover
,
skin
biopsies
and
the
subsequent
measurement
of
intraepidermal
nerve
fibre
density
have
become
a
widely
accepted
technique
to
investigate
the
structural
integrity
of
small
nerve
fibres
.
The
pathogenesis
of
injury
to
small
nerve
fibres
is
poorly
understood
.
It
probably
depends
on
the
cause
.
SCN
9
A
-
gene
variants
have
been
reported
.
Diabetes
mellitus
is
one
of
the
main
causes
of
SFNs
.
Some
causes
of
SFNs
are
very
well-known
to
dermatologists
:
Gougerot-
Sjögren
syndrome
,
lupus
,
sarcoidosis
and
Fabry
disease
.
We
also
discuss
erythermalgia
,
prurigo
nodularis
,
nummular
eczema
,
burning
mouth
syndrome
and
sensitive
skin
as
SFNs
.
Diseases
Validation
Diseases presenting
"small nerve fibres"
symptom
fabry disease
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