Diabetic muscle infarction: a new perspective on pathogenesis and management.
Two patients with insulin dependent diabetes mellitus developed recurrent episodes of focal muscle pain and swelling. Clinical evaluation, magnetic resonance imaging (MRI) and muscle biopsy confirmed the diagnosis of recurrent hemorrhagic muscle infarctions. Our studies suggest that muscle infarction occurred because of hypercoagulability and associated vascular endothelial damage. Based on these findings we recommend long-term anticoagulation to prevent recurrent infarction.
Bjornskov
E K
EK
Department of Neurology, University of Colorado School of Medicine, Denver 80262, USA.
Carry
M R
MR
Katz
F H
FH
Lefkowitz
J
J
Ringel
S P
SP
D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D001706:Biopsy; D003922:Diabetes Mellitus, Type 1 / Q000150:complications* / Q000188:drug therapy; D003925:Diabetic Angiopathies / Q000473:pathology* / Q000517:prevention & control; D005260:Female; D006801:Humans; D007238:Infarction / Q000188:drug therapy / Q000473:pathology* / Q000517:prevention & control; D018810:Magnetic Resonance Angiography; D008875:Middle Aged; D009132:Muscles / Q000098:blood supply* / Q000473:pathology; D009135:Muscular Diseases / Q000473:pathology* / Q000517:prevention & control / Q000628:therapy; D012008:Recurrence; D018180:Thrombomodulin / Q000187:drug effects
D000925:Anticoagulants; D018180:Thrombomodulin