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}


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.

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  • Competing interests: None.