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. 2023 Apr 14;81(3):308–321. doi: 10.1055/s-0043-1764412

Table 2. Differential diagnosis of hereditary transthyretin amyloidosis with peripheral neuropathy.

Differential diagnosis Clues for the differential diagnosis
Diabetic neuropathy Poor glycemic control and mild motor involvement
CIDP Proximal and distal weakness and non-uniform demyelination on NCS
Leprosy Multiple mononeuropathies/asymmetric neuropathy, typical skin lesions
Toxic neuropathies Bortezomib, thalidomide, vincristine, alcohol abuse
Fabry Angiokeratomas, stroke, and alpha-glucosidase deficiency
Charcot-Marie-Tooth Mild sensation loss and no autonomic involvement
HSAN No or mild motor involvement
Immunoglobulin light-chain amyloidosis Monoclonal gammopathy in the serum and/or urine, abnormal kappa/lambda ratio, mass-spectrometry, bone marrow biopsy

Abbreviations: CIDP, chronic inflammatory polyradiculopathy; HSAN, hereditary motor and autonomic neuropathy; NCS, nerve conduction studies.