9th September 2020

A 55-year-old Ghanaian lady is referred to the neuromuscular clinic by her GP

A 55-year-old Ghanaian lady is referred to the neuromuscular clinic by her GP after they found that she had proximal muscle weakness. She has a past medical history of systemic lupus erythematosus for which she is currently being treated with hydroxychloroquine. On examination she has a reddish purple rash around her eyelids.

For the patient above, please select the SINGLE most likely underlying cause of their muscle weakness. Select ONE option from the list above.