Diabetic Amyotrophy

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

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II. Epidemiology

  1. Subtype of Diabetic Neuropathy
  2. Most often in older males with Type II Diabetes

III. Symptoms

  1. Disabling and bilateral thigh Muscle Weakness
  2. Weight loss
  3. Myalgias may be present

IV. Signs

  1. Thigh Muscle atrophy
    1. Iliopsoas weakness
    2. Quadriceps weakness
    3. Adductor Muscle Weakness
  2. Patellar Deep Tendon Reflex loss

V. Management

  1. See Diabetic Peripheral Neuropathy

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