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A 40-year-old man with diabetes presented with difficulty in walking and paresthesia affecting both feet. Examination revealed pes cavus (fig 1), lower limb hypertonia, sustained ankle clonus and symmetric hyper-reflexia. There was no muscle weakness and cerebellar signs were absent. …
Competing interests: None.
Patient consent: Informed consent was obtained for publication of the person’s details in this report.
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