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Unusual association of diseases/symptoms
CASE REPORT
Diabetic muscle infarction: rare complication with a distinct clinical manifestation
  1. Poranee Ganokroj1,2 and
  2. Patchaya Boonchaya-anant2,3
  1. 1 Department of Laboratory Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
  2. 2 Division of Endocrinology and Metabolism, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
  3. 3 Excellence Center for Diabetes, Hormones and Metabolism, King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok, Thailand
  1. Correspondence to Dr Patchaya Boonchaya-anant, b_patchaya{at}yahoo.com

Abstract

Diabetic muscle infarction is an unusual condition with distinctive clinical characteristics seen in patients with prolonged and uncontrolled diabetes. Clinical findings and imaging study are unique and challenging. Patients usually present with acute unilateral severe muscular pain and swelling, particularly in the lower extremities. The presentation is difficult to distinguish from other common conditions such as deep venous thrombosis and infectious myositis. However, early recognition of the clinical presentation and appropriate imaging selection can lead to the diagnosis and avoid unnecessary muscle biopsy. Here, we report a case of diabetic muscle infarction in a patient with poorly controlled type 1 diabetes who had a good clinical response after an early detection and appropriate treatment.

  • diabetes
  • musculoskeletal and joint disorders
  • endocrine system

https://doi.org/10.1136/bcr-2018-228480

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    Footnotes

    • Contributors PG involved in the care of this patient, reviewed and discussed the case with PB-a, an attending staff who guided this patient diagnosis and proper treatment.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Patient consent for publication Obtained.