II. Symptoms

  1. Abnormal sensations in the absence of stimuli
    1. Numb sensation
    2. Cold, warmth or burning sensation
    3. Prickling, tingling or pins and needles sensation
    4. Skin crawling sensation
    5. Pruritus
  2. Location
    1. Extremities

III. Differential Diagnosis

IV. Labs: Initial Evaluation

  1. Complete Blood Count
  2. Chemistry panel or metabolic panel (Chem7)
  3. Urinalysis
  4. Thyroid Stimulating Hormone (TSH)
  5. Erythrocyte Sedimentation Rate (ESR)

V. Labs: Other Studies when indicated

  1. Serum Folate
  2. Vitamin B12
  3. Syphilis Serology (VDRL or RPR)
  4. Antinuclear Antibody (ANA)
  5. Nerve conduction velocities
  6. Electromyogram (EMG)
  7. XRay of affected extremity
  8. CT Head or MRI Head
  9. Myelography
  10. Nerve biopsy
  11. Muscle biopsy
  12. Serum immunoelectrophoresis
  13. Purified Protein Derivative (PPD)

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Ontology: Paresthesia (C0030554)

Definition (MSHCZE) Porucha čití projevující se jako brnění, mravenčení, svrbění apod. Vzniká při některých poškozeních nervů (neuropatiích), např. při cukrovce. Běžně pak při tzv. „přesezení“ končetiny. (cit. Velký lékařský slovník online, 2012 http://lekarske.slovniky.cz/ )
Definition (NCI_NCI-GLOSS) Abnormal touch sensations, such as burning or prickling, that occur without an outside stimulus.
Definition (NCI_CTCAE) A disorder characterized by functional disturbances of sensory neurons resulting in abnormal cutaneous sensations of tingling, numbness, pressure, cold, and warmth that are experienced in the absence of a stimulus.
Definition (NCI) Abnormal cutaneous sensations of tingling, numbness, pressure, cold, and warmth that an individual experiences without the presence of a stimulus. It results from functional disturbances of sensory neurons. Causes include peripheral vascular disease, peripheral neuropathy, and nerve damage.
Definition (MSH) Subjective cutaneous sensations (e.g., cold, warmth, tingling, pressure, etc.) that are experienced spontaneously in the absence of stimulation.
Concepts Sign or Symptom (T184)
MSH D010292
SnomedCT 206857001, 158228009, 91019004
English PARESTHESIAS, PARAESTHESIA, PARESTHESIA, [D]Paraesthesia, [D]Paresthesia, Paresthesia, [D]Paresthesia (context-dependent category), Paresthesias, Paraesthesias, Paresthesia [Disease/Finding], abnormal sensation, parasthesia, paresthesias, parasthesias, paraesthesias, [D]Paresthesia (situation), Paraesthesia (numbness/tingling), [D]Paraesthesia (situation), Paresthesia (numbness/tingling), paresthesia, Parasthesia, Paraesthesia, Paresthesia (finding), paraesthesia
French PARESTHESIE, Parasthésie, Paresthésie
Portuguese PARESTESIA, Formigamento, Sensações de Queimadura, Parestesia
Spanish PARESTESIA, Paraestesia, Parestesias, [D]parestesia (categoría dependiente del contexto), [D]parestesia, [D]parestesia (situación), Sensación de Quemaduras, Hormigueo, parestesia (hallazgo), parestesia, Parestesia
German PARAESTHESIE, Paraesthesie, Parästhesie, Sensibilitätsstörung
Dutch veranderd gevoel, paresthesie, Paresthesie
Swedish Parestesi
Japanese サクカンカク, 感覚異常, 感覚-異常, 錯感覚, 錯感覚症, 感覚異常症, 異常感覚
Czech parestézie, Parestezie, parestezie
Finnish Parestesia
Russian PARESTEZIIA, ПАРЕСТЕЗИЯ
Polish Czucie opaczne, Parestezja
Hungarian Paraesthesia, Paresztézia
Norwegian Parestesi
Italian Parestesia