[Muscle infarction. An unknown complication of diabetes mellitus].
BACKGROUND
Diabetic muscle infarction (MI) is a rare and little-known complication of diabetes mellitus.


METHODS
We report a case of relapsing MI in which magnetic resonance imaging (MRI) suggested the diagnosis. A 53-year-old man with multi-complicated type II diabetes mellitus was admitted to our unit for illness and deep tumefaction of the right thigh. Because of unconclusive MRI, a muscular biopsy of the lesion was performed and MI confirmed. Three months after, a left relapse of MI occurred. Immediate treatment with immobilization and heparinotherapy permitted a rapid recovery.


CONCLUSIONS
About 70 previously reported cases are reviewed. The mean age at presentation was about 40 years. MI was usually seen in patients with long-standing diabetes with multiple end organ microvascular complications. Homo- or heterolateral recurrences are reported in almost half of the patients. MRI is the best imaging technique for suggesting the diagnosis.
Patte-Greangeot
R
R
Service de néphrologie B, hôpital Calmette, CHRU Lille, France.
Boulanger
E
E
Antonescu
F R
FR
Césari
J F
JF
Wambergue
F P
FP
Wambergue
A
A
Fontaine
P
P
Cotten
A
A
Ferrier
M L
ML
Pagniez
D
D
Dequiedt
P
P
D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D003937:Diagnosis, Differential; D006801:Humans; D007238:Infarction / Q000209:etiology* / Q000473:pathology; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009132:Muscles / Q000098:blood supply* / Q000473:pathology