Summary
<h3>Objective:</h3> Describe two cases of pediatric small fiber neuropathy complicated by cold immersion and subsequent rewarming injury. <h3>Background:</h3> It is well known that cold temperatures can provide pain relief to patients with small fiber neuropathy. However, achieving this pain control with cold water immersion can produce secondary injury, exacerbating pain and morbidity. We review the four stages of cold water immersion and subsequent rewarming injury in the context of two cases of pediatric small fiber neuropathy. Further we discuss the importance of counseling regarding appropriate management of small fiber neuropathy, a pathology which is not commonly seen in child neurology practice. <h3>Design/Methods:</h3> Retrospective clinical description of two cases. <h3>Results:<
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