Article Text

Rare disease
Diabetic muscle infarction
  1. Antony Mathew1,
  2. Sreenath Reddy2,
  3. Colin Archibald3
  1. 1
    University Hospital of Wales, Cardiff, UK
  2. 2
    Royal Berkshire Hospital, Emergency Department, London Road, Reading, RG1 5AN, UK
  3. 3
    Royal Berkshire Hospital, Radiology, London Road, Reading, Berkshire, RG1 5AN, UK
  1. AntonyMat{at}aol.com

Summary

Diabetic muscle infarction (DMI) is a rare complication of longstanding, poorly controlled diabetes. Only a few cases have been reported in the literature. The case of a 34-year-old man with a 7-year history of type 2 diabetes mellitus, with sudden onset of left thigh pain, is described here. A final diagnosis of DMI was made, the pathophysiology of which remains unclear. MRI findings were diagnostic and characteristic. The management of this condition is usually symptomatic. Short-term prognosis is very good; however, the recurrence rate is high. Long-term prognosis is poor, with most patients dying from cardiovascular complications of diabetes within 5 years of diagnosis. This case supports the need for a high index of suspicion, when a poorly controlled patient with diabetes presents with non-traumatic limb pain.

View Full Text

Statistics from Altmetric.com

Footnotes

  • Competing interests: None.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.