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Diagnosis of chronic peripheral neuropathy
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  1. RICHARD A C HUGHES
  1. Department of Neuroimmunology, Guy's, King's and St Thomas' School of Medicine, Guy's Campus, London SE1 9RT, UK

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    “The golden rule is that there are no golden rules.” (George Bernard Shaw: Maxims for Revolutionists)

    The annual incidence of peripheral neuropathy is at least 118/100 000,1 sufficiently common to justify investigating more efficient strategies for its assessment. The Amsterdam Neuromuscular Centre2 (pp 205–209 of this issue) are to be congratulated on their pioneering audit of their own guidelines for diagnosing chronic polyneuropathy. They have castigated themselves for doing neurophysiological studies, which did not contribute to the diagnosis in 48%, and ancillary investigations, which were unhelpful in 51%. They …

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