Pattern describing sensory loss in distal extremities is which?

• A. Dermatomal distribution
• B. Stocking-glove distribution
• C. Proximal distribution
• D. Focal distribution

Answer: (B)

Stocking-glove distribution reflects a length-dependent peripheral neuropathy, where the longest nerves are affected first. This causes sensory loss starting in the toes and fingers and then progressing proximally, producing a symmetric pattern in the distal extremities that resembles wearing stockings and gloves. A dermatomal pattern would follow a single nerve root or spinal segment, not both hands and feet; a proximal distribution would involve the thighs or shoulders more than the distal limbs; and a focal distribution would be limited to a discrete, small area. Thus, the distal, symmetric pattern described here best matches stocking-glove distribution.