A winged scapula and dropped wrist: an unusual manifestation of copper deficiency

Myelopathy due to copper deficiency closely resembles myelopathy due to vitamin B12 deficiency. This is a treatable form of myelopathy and was recognized for the first time in 2001 [1]. The deficiency of copper may lead to a length-dependent axonal neuropathy, myelopathy, and myelodysplastic syndrome [2]. Due to the concomitant involvement of spinal cord and peripheral nerves in copper deficiency, the disorder is sometimes called as myeloneuropathy. To the best of our knowledge, we are reporting a first case of copper deficiency leading to radiculomyeloneuropathy manifesting as winged scapula, wrist drop, axonal neuropathy, and myelopathy. Case report