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.