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A Masked Marauder: Hepatitis C Neuropathy

Published:September 04, 2017DOI:https://doi.org/10.1016/j.amjmed.2017.08.015
      When a 52-year-old man presented with burning pain in his feet, his type 1 diabetes, albeit well controlled, was initially thought to be the cause. In fact, a previously undiagnosed infection was to blame. The patient first presented to an outside hospital, where he reported that pain had started over his left heel and then spread to the rest of his left foot, his ankle, and his calf over the course of a few days. Two months later, his right foot was also involved. Aside from diabetes, he had a history of melanoma, for which he had been treated 4 years earlier. Electromyography and a nerve conduction study showed a sensorimotor axonal neuropathy involving the lower extremities. This was attributed to the underlying diabetes.
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