[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Images in Neurology
June 2003

Kennedy DiseaseAvoiding Misdiagnosis

Arch Neurol. 2003;60(6):893-894. doi:10.1001/archneur.60.6.893

A 51-YEAR-OLD man with a history of prominent muscle cramps and adult-onset diabetes mellitus was seen for slowly progressive muscle weakness and atrophy predominantly affecting the proximal shoulder girdle muscles. He had no bulbar symptoms, but tongue, facial, and, particularly, perioral fasciculations were prominent. He had modest sensory disturbances, and his tendon reflexes were markedly depressed, findings that were attributed to diabetes mellitus neuropathy. Careful family history assessment revealed numerous neurologically healthy relatives with diabetes mellitus but no family history of Kennedy disease or any similar phenotype.

First Page Preview View Large
First page PDF preview
First page PDF preview