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Peripheral HIV Neuropathy - Diagnosis

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 Nperipheral europatia For HIV! Diagnosis!


Neuropatia Periférica Por HIV – Diagnóstico, Blog Soropositivo.Org
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Peripheral neuropathy it needs several tests to diagnose peripheral neuropathy and its underlying cause.

Because when you see your doctor, he asks about your symptoms and examine the affected area of ​​your body. Thus, this may involve tests of sensation, strength and reflexes.

Your doctor can also organize blood tests, especially to check for causes like diabetes ou vitamin B12 deficiency.

Confirming if you have peripheral HIV neuropathy.

Well, for some people they may need to see a neurologist. The neurologist is the specialist in health conditions that affect the nervous system, you will see him at the hospital for further tests.

This may include:

  • a nerve conduction test (NCS), in which small metal wires called electrodes are placed on the skin and release small electrical shocks to stimulate the nerves; the speed and strength of the nerve signal are measured - 
  • electromyography (EMG), where a small needle is inserted into the skin by the muscle and used to measure the electrical activity of the muscles. I stopped counting on the bite and discharge 480.

NCS and EMG are usually performed at the same time.

Identifying the cause of a neuropathy peripheral HIV!

Your general practitioner can usually identify the underlying cause of a peripheral neuropathy.

Neuropatia Periférica Por HIVHowever, if diabetes, they can usually make a reliable diagnosis based on their symptoms, a physical exam and a check of blood and urine sugar levels.

So, if you are taking a medication that causes peripheral neuropathy, your doctor may temporarily stop the medication. Or, reduce the dose of your medications to see if your symptoms improve. Note, however, that this, dose reduction, is impractical with the ART!

If the cause is uncertain, you can be referred to a neurologist,  for more blood tests for the purpose of verifying:

And it is possible that you may need a lumbar puncture to test a clear, colorless liquid that surrounds and supports the brain and spinal cord (cerebrospinal fluid) for inflammation.

Biopsy and tests to diagnose peripheral neuropathy

Occasionally, a nerve biopsy  can be performed as part of your diagnosis.

Look, don't be alarmed, this is a minor surgical procedure, in which a small sample of a peripheral nerve is removed near the ankle so that it can be examined under a microscope.

Then, it is checked for changes that may be a sign of certain types of peripheral neuropathy. But nerve biopsies are rarely needed.

You may also need a scan to look for any underlying cause of your neuropathy, such as:

If you have more time, try to read about oral hairy leukoplakia

Fortunately, for some people, there is an option to triple therapy, however, your quality of life can be excellent with other therapeutic schemes, but it may be good for you to research, too, about the predictors of HIV peripheral neuropathy!

This is also part of live with HIV!

And it's always good to learn about antiretrovirals like the emtricitabine 

And adult life flows in aging, more complicated, it is true and yes, there is good news for those living with HIV!

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