June 2016 Video Challenge: Subacute Severe Pelvis and Anterior Thigh Pain
By Aziz Shaibani, MD, FACP, FAAN, FANA
A 55-year-old diabetic woman presented with subacute severe right pelvis and anterior thigh pain that was followed by weakness of bilateral quadriceps. Two months later, she experienced weakness of the hip flexors. She had no ankle or knee reflexes. LS MRI showed mild degenerative disease of the spines. Her diabetes mellitus was well controlled.
The most likely diagnosis was:
1. LS polyradiculopathy
3. Atypical polymyositis
4. Diabetic amyotrophy
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