title: A case of diabetic muscle infarction in Japan.
abstract: Diabetic muscle infarction (DMI) is a rare complication of diabetes mellitus. We report the first recorded case in Japan. A 45-year-old Japanese woman presented with severe pain in the left antero-medial thigh. She had a 14-year history of Type 2 diabetes mellitus (DM). She had first noticed pain in her left thigh after a walk 2 weeks prior to presentation. The pain worsened progressively. She noticed a firm mass in her left thigh. T2-weighted magnetic resonance imaging (MRI) demonstrated a high-intensity signal in the muscle bulk of the anterior component of the left thigh. A needle biopsy of the mass showed necrosis. She was treated with bedrest and an antiplatelet agent. The mass disappeared 8 weeks after admission. DMI is a rare complication of poorly controlled diabetes mellitus. Twenty-seven cases with DMI have been reported in the English literature but we believe this is the first Japanese case with DMI.
authors.affiliation: Second Department of Internal Medicine, University of the Ryukyus School of Medicine, Okinawa, Japan.
authors.forename: M
authors.initials: M
authors.lastname: Taira
authors.forename: I
authors.initials: I
authors.lastname: Komiya
authors.forename: T
authors.initials: T
authors.lastname: Taira
authors.forename: T
authors.initials: T
authors.lastname: Arakawa
authors.forename: S
authors.initials: S
authors.lastname: Hokama
authors.forename: Y
authors.initials: Y
authors.lastname: Nagasawa
authors.forename: N
authors.initials: N
authors.lastname: Takasu
mesh_terms: D001510:Bed Rest; D001706:Biopsy; D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D005260:Female; D006801:Humans; D007238:Infarction / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy; D007564:Japan; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000098:blood supply* / Q000473:pathology; D010146:Pain; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use
chemical_list: D010975:Platelet Aggregation Inhibitors