Folate deficiency peripheral neuropathy (PN)

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Folate deficiency peripheral neuropathy (PN). Alcoholism, Dietary deficiency, Drugs. Fully referenced neurology checklist.

Causes of folate deficiency

  • Alcoholism
  • Dietary deficiency
  • Drugs
  • Hereditary folate malabsorption (HFM)
  • Also see Neurochecklist: “Cerebral folate deficiency: causes”

Clinical features

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Blood investigations

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Differential diagnosis

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Treatment

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References

  1. Koike H, Takahashi M, Ohyama K, et al. Clinicopathologic features of folate-deficiency neuropathy. Neurology 2015; 84:1026-1033.
  2. Manzoor M, Runcie J. Folate-responsive neuropathy: report of 10 cases. Br Med J 1976; 1:1176-1178.
  3. Steinschneider M, Sherbany A, Pavlakis S, Emerson R, Lovelace R, De Vivo DC. Congenital folate malabsorption: reversible clinical and neurophysiologic abnormalities. Neurology 1990; 40:1315.
  4. Shin DS, Mahadeo K, Min SH, et al. Identification of novel mutations in the proton-coupled folate transporter (PCFT-SLC46A1) associated with hereditary folate malabsorption. Mol Genet Metab 2011; 103:33-37. 

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