A Patient with an Acute Syndrome, Recovers and Represents Years Later
A 32-year-old lady develops acute painful aching and weakness in her legs 10 days after receiving the oral polio vaccine. Her symptoms worsen over 4 weeks and then stabilise. Examination confirms proximal asymmetrical wasting with flaccid proximal trunk and limb weakness. She recovers from the acute illness but 15 years later develops slow deterioration in her functional capacity with increasing fatigue and inability to sustain exercise.