We presented a 65 year old male with history of CABG, HTN, HLD and gout who presents for evaluation of fevers and progressive weakness for 4 months. . On exam he has decreased strength in his wrists, fingers and right foot. He has intraosseous muscle wasting in the left hand and he cannot elicit DTRs in the knees or ankles, he has profound foot drop on the right. Extensive work up eventually revealed polyarteritis nodosa secondary to hep B infection and mononeuritis multiplex due to this. He improved significantly with treatment for Hep B and steroids.