Peripheral neuropathy (PN): blood investigations

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Peripheral neuropathy (PN): blood investigations. Full blood count (FBC), Renal and liver function tests. Fully referenced neurology checklist.

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

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Immunoglobulins: causes of raised IgA and IgG

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Serum tests

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Autoantibodies

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Inflammatory markers

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Infection screen

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Common genetic tests

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Other tests

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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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