Neuro

Diabetic Amyotrophy

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Diabetic Amyotrophy, Femoral Neuropathy of Diabetes, Proximal Motor Neuropathy of Diabetes Mellitus, Symmetric Diabetic Proximal Motor Neuropathy

  • Epidemiology
  1. Subtype of Diabetic Neuropathy
  2. Most often in older males with Type II Diabetes
  • Symptoms
  1. Disabling and bilateral thigh Muscle Weakness
  2. Weight loss
  3. Myalgias may be present
  • Signs
  1. Thigh Muscle atrophy
    1. Iliopsoas weakness
    2. Quadriceps weakness
    3. Adductor Muscle Weakness
  2. Patellar Deep Tendon Reflex loss
  • Management
  1. See Diabetic Peripheral Neuropathy