Peripheral neuropathy (PN): blood investigations

Evidence-based neurology checklist on peripheral neuropathy (pn): blood investigations: Baseline blood tests Full blood count (FBC) Renal and liver function tests Thyroid function test (TFT) Blood glucose Oral glucose tolerance test (OGTT) Vitamin B12 Folate Immunoglobulins: causes of raised IgM…

Baseline blood tests

  • Full blood count (FBC)
  • Renal and liver function tests
  • Thyroid function test (TFT)
  • Blood glucose
  • Oral glucose tolerance test (OGTT)
  • Vitamin B12
  • Folate

Immunoglobulins: causes of raised IgM

Immunoglobulins: causes of raised IgA and IgG

Serum tests

Autoantibodies

Inflammatory markers

Infection screen

Common genetic tests

Other tests

References

  1. England JD, Gronseth GS, Franklin G, et al. Practice Parameter: evaluation of distal symmetric polyneuropathy: role of laboratory and genetic testing (an evidence-based review). Report of the American Academy of Neurology, American Association of Neuromuscular and Electrodiagnostic Medicine, and American Academy of Physical Medicine and Rehabilitation. Neurology 2009; 72:185-192.
  2. Burns TM, Mauermann ML. The evaluation of polyneuropathies. Neurology 2011; 76:S6-S13.
  3. Alport AR, Sander HW. Clinical approach to peripheral neuropathy: anatomic localization and diagnostic testing. Continuum (Minneap Minn) 2012; 18:13-38.
  4. Overell JR. Peripheral neuropathy: pattern recognition for the pragmatist. Pract Neurol 2011; 11:62-70.
  5. Karam C, Moshe-Lilie O, Chahin N, Ragole T, Medvedova E, Silbermann R. Diagnosis of paraproteinemic neuropathy: room for improvement. J Neurol Sci 2020; 415:116902. 

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