Peripheral neuropathy points to something sinister
Genevieve, a 73-year-old female presents with a four-year history of symmetrical painful peripheral neuropathy, with tactile hyperaesthesia worse at night.
She has a past history of anxiety and osteoarthritis.
There is no history of alcoholism, HIV or autoimmune disease.
Genevieve’s symptoms improve with a trial of pregabalin 75mg twice daily.