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Isolated bibrachial plexopathy in a patient with type 2 diabetes.

Diabetic amyotrophy is typically a lumbosacral radiculoplexus neuropathy resulting in weakness, muscle wasting, and pain (1). Brachial plexus involvement has been occasionally described with lumbosacral radiculoplexus neuropathy (2–6), but isolated diabetic brachial plexopathy has been described only in a patient with diabetic ketoacidosis (7). We describe a patient with well-controlled type 2 diabetes who developed isolated bibrachial diabetic plexopathy.

A 56-year-old African-American man with a 13-year history of well-controlled diabetes (total glycohemoglobin 6.2%, normal 3.9–6.3%), on insulin for 5 years and having …