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KMID : 0978920110120020161
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Korean Journal of Clinical Geriatrics
2011 Volume.12 No. 2 p.161 ~ p.165
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Diabetic Amyotrophy with Severe Atrophy and Weakness of Shoulder Girdle Muscle - A Case Report -
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Kim Soo-A
Oh Ki-Young
Lee Young-Seop
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Abstract
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A 55-year-old man with a 10-year history of type 2 diabetes developed weakness and atrophy of right shoulder girdle muscle within 10 days. This was accompanied by severe right shoulder pain. Computed tomography of the cervical spine and X-ray films of the cervical spine and shoulder revealed no abnormality. The diagnosis of this patient was suspected to be a proximal diabetic neuropathy (diabetic amyotrophy). The involvement of the scapulohumeral region observed in this case is very unusual in proximal diabetic neuropathy. Most of diabetic amyotrophy in patients showed favorable outcome, but this patients showed no improvement. So we should have to consider the possibility of diabetic amyotrophy in patients remaining severe disabled.
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KEYWORD
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Diabetic neuropathy, Diabetic amyotrophy, Asymmetric diabetic proximal motor neuropathy
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