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An 81-year-old man presented with reduced mobility and severe proximal muscle pain and weakness. He reported having frequent falls. His medical history included osteoarthritis of the knees, hypertension and L2 vertebral wedge collapse in 1987. A clinical examination showed swollen ankles and synovitis in his left knee and bilateral quadriceps muscle wasting. Muscle power was grade 4 or 5, and tone, reflexes and …
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