PT - JOURNAL ARTICLE AU - Kuo, H. -C. AU - Huang, C. -C. AU - Tsai, Y. -T. AU - Chu, C. -C. AU - Hsieh, S. -T. AU - Chu, N. -S. TI - Acute painful neuropathy in thallium poisoning AID - 10.1212/01.wnl.0000169021.26172.f8 DP - 2005 Jul 26 TA - Neurology PG - 302--304 VI - 65 IP - 2 4099 - http://n.neurology.org/content/65/2/302.short 4100 - http://n.neurology.org/content/65/2/302.full SO - Neurology2005 Jul 26; 65 AB - Dysesthesia, allodynia, distal muscle weakness, and sensory impairment were noted in two patients with acute thallium intoxication. Two months later, nerve conduction studies showed an axonal degeneration. Sural nerve biopsy disclosed a decreased fiber density in the large myelinated fibers. Quantitative sensory testing also revealed an impairment of pinprick, temperature, and touch sensations. Cutaneous nerve biopsy confirmed a loss of epidermal nerves indicating an involvement of the small sensory nerves.