Martijn Thomas Wijburg

motor neuron disease incl body myositis A 67-year-old man was referred for suspected motor neurone disease. He had a 2-year history of slowly progressive reduction in fine motor skills of his left hand, difficulties climbing stairs and slight dysphagia (for solids). His history included necrotising pancreatitis, diabetes mellitus and hypertension, and he took antihypertensive medication, insulin and a statin. On examination, he had muscle atrophy of the distal arm.