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ARTICLESir,In their elegant study, Uceyler et al. (2013) provide objective evidence of small fibre neuropathy in patients with fibromyalgia. They conclude that fibromyalgia may be a neuropathic pain syndrome (Uceyler et al. , 2013). Small fibre neuropathy is a disorder of the peripheral nerves resulting in sensory changes and sympathetic dysfunction.For years, we have proposed that fibromyalgia is a neuropathic pain syndrome based on the following three arguments: (i) fibromyalgia is a stimulus-independent pain state. There is no structural damage that could explain the pain …

Small fibre neuropathy, fibromyalgia and dorsal root ganglia sodium channels