USMLE® Step 1 style questions USMLE
USMLE® Step 2 style questions USMLE
A 55-year-old man comes to the clinic because of chronic muscle weakness for 6 months. He is taking atorvastatin for treatment of hyperlipidemia. He had a history of gastrectomy because of gastric adenocarcinoma 2 years ago. Physical exam shows 3/5 strength of pelvic and shoulder muscles, 5/5 strength of distal muscles, and normal sensation. Skin examination shows bilateral hand rash shown in the image below.
Which of the following is the most likely diagnosis?