Sunday, 6 November 2011

Diabetic amyotrophy

- a.k.a proximal diabetic neuropathy
- usually seen in older men with diabetes
- presents with painful wasting, usually asymmetrical of quadriceps muscles
- wasting may be very marked and knee reflexes are diminished
- affected area is often extremely tender
- nerve conduction studies to rule out other conditions
- 50% recover fully in 3-4 months
- often resolves in time with careful diabetic control or transference to insulin therapy

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