preferentially damage the small unmyelinated and thinly myelinated sensory or autonomic
neurons [1]. Skin biopsy to determine the epidermal nerve-fiber density (ENFD) is the most
definitive method in the diagnosis of SFN, but autonomic function testing can also be useful
[2]. Importantly, electromyography and surface nerve-conduction studies (EMG/NCS) do not
capture the small scattered action potentials of small fibers, and thus are insensitive to small …