Autonomic small fiber involvement in painful long COVID: a histological and clinical study

These findings provide histological evidence that autonomic small fiber damage is a prominent and measurable feature of painful long COVID syndrome. Importantly, this pathology was also observed in patients with preserved IENFD, indicating that autonomic involvement may occur independently of somatic small fiber loss.

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Publication Details

Journal
Frontiers in Human Neuroscience
Published
2026-01-14
DOI
https://doi.org/10.3389/fnhum.2025.1719705
Primary Topic
Long-Term Effects of COVID-19
Type
article
Field-Weighted Citation Impact
0.00

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article

Autonomic small fiber involvement in painful long COVID: a histological and clinical study

Caterina Leone, Daniel Litewczuk, Andrea Truini, P. Falco et al.
Frontiers in Human Neuroscience
Long-Term Effects of COVID-19
article

Autonomic small fiber involvement in painful long COVID: a histological and clinical study

Caterina Leone, Daniel Litewczuk, Andrea Truini, P. Falco, Eleonora Galosi, G. Di Stefano, Enrico Evangelisti, Lars Arendt-Nielsen
article en

Abstract

These findings provide histological evidence that autonomic small fiber damage is a prominent and measurable feature of painful long COVID syndrome. Importantly, this pathology was also observed in patients with preserved IENFD, indicating that autonomic involvement may occur independently of somatic small fiber loss.

Frontiers in Human NeuroscienceVol. 19
Steno Diabetes Centers (DK), Aalborg University Hospital (DK), Sapienza University of Rome (IT), Aalborg University (DK)
National Research Foundation, Danmarks Grundforskningsfond, Novo Nordisk, Novo Nordisk Fonden
Openalex Percentile: Top 89%
Long-Term Effects of COVID-19
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Autonomic small fiber involvement in painful long COVID: a histological and clinical study — Caterina Leone, Daniel Litewczuk, et al. · Frontiers in Human Neuroscience (2026) | TGRS Research Map | TGRS