RT Journal Article SR Electronic T1 Acute painful neuropathy in thallium poisoning JF Neurology JO Neurology FD Lippincott Williams & Wilkins SP 302 OP 304 DO 10.1212/01.wnl.0000169021.26172.f8 VO 65 IS 2 A1 Kuo, H. -C. A1 Huang, C. -C. A1 Tsai, Y. -T. A1 Chu, C. -C. A1 Hsieh, S. -T. A1 Chu, N. -S. YR 2005 UL http://n.neurology.org/content/65/2/302.abstract 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.