10-30-2007, 10:17 AM
A 48 year old male with a history of chronic alcoholism presents to his PCP complaining of weakness and a "pins and needles" feeling in his extremities. He is not on any medications and has no other notable past medical history. On exam, his extremities demonstrate pallor and are markedly atrophied relative to his core musculature. The remainder of his physical exam is within normal. His hemoglobin A1C is 5.8. What is the most likely diagnosis?
1. Wet beri beri
2. Dry beri beri
3. Pellagra
4. Niacin deficiency
5. Wernicke-Korsakoff syndrome
6. Diabetic polyneuropathy
1. Wet beri beri
2. Dry beri beri
3. Pellagra
4. Niacin deficiency
5. Wernicke-Korsakoff syndrome
6. Diabetic polyneuropathy