Table 1.
Emergency room |
Clinical characterization |
Ultrasound of peripheral nerves |
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Patient No. | Age, y/ Sex | Reason for attendance / symptom duration | Diagnosis of referral | Skin | Nerves | No. of points asymmetric by thickening (>2 mm2 CSA R/L difference) | No. of focallity intranerve points detected (>2 mm2 difference) | No. of qualitative morphologically altered points | Intra / perineural Doppler signal |
1 | 70/M | Tingling in the LUL / 2 years | ACS | Large anesthetic area on the left leg and foot; localized irregular patches of circumscribed hair loss on left lower limb | Enlargement of the left common fibular, left superficial fibular and right posterior tibial nerves; electric shock-like pain on the right superficial fibular and right posterior tibial nerves | 5 | 2 | 5 | Negative |
2 | 64/F | Tingling in the LUL / 5 months | ACS | Anesthetic hypochromatic macule on the left elbow and forearm; localized irregular patches of circumscribed hair loss on lower limbs; incomplete endogenous histamine test | Enlargement and electric shock-like pain on the common fibular and left ulnar nerves | 4 | 5 | 4 | Positive |
3 | 34/M | Tingling in the LUL / 8 months | ACS | Hypochromatic, anhydrotic and hypo-anesthetic macule in the left frontal region, left distal madarosis | Enlargement and electric shock-like pain on the right common fibular and left ulnar nerves | 3 | 3 | 4 | Negative |
4 | 38/F | Left leg pain / 3 months | DVT | Hypochromatic, anesthetic macule with incomplete endogenous histamine test on left knee | Enlargement and electric shock-like pain on the left common fibular and posterior tibial nerves | 3 | 4 | 5 | Positive |
5 | 64/F | Left leg pain / 2 years | AAO | Left dropped foot, hypochromatic anesthetic macules with incomplete endogenous histamine test on the right knee, anesthetic xerotic plaque on the left foot | Enlargement and electric shock-like pain on the left common fibular | 3 | 6 | 6 | Positive |
6 | 63/M | Left leg pain / 6 years | AAO | Left dropped foot; hypochromatic and hypoaesthetic macules with incomplete endogenous histamine test on the knees and elbows | Enlargement of ulnars, common fibulars and posterior tibials nerves | 6 | 3 | 4 | Positive |
7 | 75/M | Infected ulcer / 10 years | Venous ulcer | Bilateral ulnar claw, bilateral trophic plantar ulcers, amyotrophy, lobule infiltration and bone resorption | Enlargement of common fibulars and posterior tibials nerves | 4 | 3 | 5 | Negative |
Legend: AAO acute arterial occlusion; ACS acute coronary symdrom; CSA cross-sectional area; DVT deep vein thrombosis; LUL left upper limb.