9th June 2025

You are the medical registrar. A 42-year-old woman presents to the accident and emergency (A&E) department because of trouble with her balance.

You are the medical registrar. A 42-year-old woman presents to the accident and emergency (A&E) department because of trouble with her balance. The A&E SHO has documented her power as 4/5 in the L2 myotome bilaterally, but 5/5 in all other myotomes. On examination you notice some scaly red lesions over the back of her hands. What is the most likely explanation for these findings?

Select the SINGLE most appropriate option from the list below. Select ONE option only.