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A 35-year-old woman presented with severe weakness of both ankles.
On the day prior to presentation, she had been helping a family member move house. This involved many hours of squatting while emptying cupboards. She had been wearing ‘skinny jeans’, and recalled that her jeans had felt increasingly tight and uncomfortable during the day. Later that evening, while walking home, she noticed bilateral foot drop and foot numbness, which caused her to trip and fall. She spent several hours lying on the ground before she was found.
On examination, her lower legs were markedly oedematous bilaterally, worse on the right side, and her jeans could only be removed by cutting them off. There was bilateral, severe global weakness of ankle and toe movements, somewhat more marked on the …
Contributors KW, TEK made substantial contributions to the conception and design of the work, as well as the acquisition, analysis and interpretation of data. PDT made substantial contributions to the analysis and interpretation of data; revised the draft critically for important intellectual content. KW drafted the work. TEK, PDT: revised the draft critically for important intellectual content; approved the version published. KW, TEK, PDT approved the version published; agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.
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