A 48-Year-Old Previously Healthy Woman Visits the Office Because She

A 48-year-old previously healthy woman visits the office because she has been experiencing progressively worsening muscle weakness for the past two months. Climbing stairs, getting up from chairs, and putting dishes in overhead cabinets are all difficult for the patient. She also reports an unintentional weight loss of 4.5 kg (10 lb) and occasional abdominal discomfort during the same time period. Physical examination reveals shoulder and hip girdle muscle weakness. The image below depicts additional examination findings. Further evaluation of this patient is most likely to reveal which of the following associated conditions?

A) Chronic hepatitis C infection
B) Ovarian adenocarcinoma
C) Primary biliary cholangitis
D) Tropheryma whippelii infection
E) Type 2 diabetes mellitus

Correct Answer:

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