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Case 78: Small Fiber Neuropathy in Wilson Disease 

Case 78: Small Fiber Neuropathy in Wilson Disease
Case 78: Small Fiber Neuropathy in Wilson Disease

Peter Novak

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date: 31 October 2020

The tilt test provoked characteristic syncope, mixed form, with simultaneous decline in heart rate and blood pressure. Small fiber neuropathy, severe, length-dependent, mixed, affecting both sensory and autonomic fiber was diagnosed. This patient had several potential causes of small fiber neuropathy, including metabolic derangement after bariatric surgery, Wilson disease, and chronic therapy with penicillamine.

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