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Alcohol and Alcoholism Vol. 36, No. 3, pp. 271-275, 2001
© 2001 Medical Council on Alcoholism

Peripheral neuropathy in chronic alcoholism: a retrospective cross-sectional study in 76 subjects

A. Ammendola*,2, M. R. Tata2, C. Aurilio1,2, G. Ciccone2, D. Gemini1,2, E. Ammendola2, G. Ugolini2 and F. Argenzio1,2

Departments of Neurophysiopathology and
1 Clinical Toxicology, Faculty of Medicine — II University of Naples, Italy

Received 27 July 2000; first review notified 5 December 2000; accepted 19 January 2001

A consecutive sample of 76 chronic alcoholic patients was studied clinically, biochemically and electrophysiologically to assess clinical and/or subclinical signs of alcohol-related neuropathy as well as the most important and disputed risk factors for neuropathy such as age, parental history of alcoholism, nutritional status, alcoholic disease duration and total lifetime dose of ethanol (TLDE). The results show that alcohol-related neuropathy, especially when subclinical, seems to be frequent and mostly characterized by axonal degeneration of peripheral nerve fibres with earlier and more frequent involvement of sensory fibres and lower limbs. Moreover, positive family history of alcoholism, but above all alcoholic disease duration and TLDE, could be more important factors than malnutrition in determining neuropathy.


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