Autoantibodies associated with SFN

AutoantibodyClinical significanceLevel of evidenceReferences
Anti-sulfatide (IgM)
  • Acute onset

  • May respond to steroid therapy

Low; retrospective data analysis[102, 103]
Anti-TS-HDS (IgM)
  • Common in females with NLD pathology

  • Acute onset

Low; retrospective data analysis[104, 105]
Anti-FGFR3 (IgG)
  • Common in females with NLD pathology

  • Generalized autonomic dysfunction

Low; retrospective data analysis[104, 105]
Anti-Plexin D1 (IgG)
  • Chronic disease duration

  • Most patients have LD, pricking presentation

  • 12.7% prevalence in SFN patients

High; animal studies confirming pathogenicity[106, 108]
Anti-Nav (IgG)
  • Acute onset, length dependent burning sensation

Low; cell-based assays, but pathogenicity not confirmed[109]
Anti-MX1 (IgG)
  • iSFN patients

Low; no mechanistic studies[101]

LD: length dependent