00808nas a2200337   4500000000100000008004100001260001300042653001100055653002800066653000900094653000900103653001100112653001600123653000800139653002500147653000900172653001600181653002200197653003900219653001400258653001600272100001500288700001100303700001200314700001400326700001400340245008700354300000900441490000600450022001400456       2004                            d  c2004 Jan10aBiopsy10aDiagnosis, Differential10aFoot10aHand10aHumans10aHypesthesia10aJaw10aLeprosy, lepromatous10aMale10aMiddle Aged10aNeural Conduction10aPeripheral Nervous System Diseases10aSensation10aSural Nerve1 aPolston DW1 aDyck J1 aDyck PJ1 aLitchy WJ1 aKeegan MB00aA 46-year-old man with numbness and shock-like sensations in hands, feet, and jaw.  a63-70 v3  a1474-4422