Case of the Month #3: Burning pain in both hands

Published: 10/02/2021

Differential Diagnosis

  • Rheumatological conditions  

  • Nerve impingement in cervical spine such as a herniated disc 

  • Other causes of distal symmetrical neuropathic pain including undiagnosed diabetes, chronic kidney or chronic liver disease, vitamin B12 deficiency, alcohol, inherited disorders, drugs, autoimmune or infection such as HIV / Hepatitis B or C.  

  • Multiple Sclerosis 

  • Syringomyelia 

  • Spinal or intracerebral malignancy