title: [Muscle infarction. An unknown complication of diabetes mellitus].
abstract: 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.
authors.affiliation: Service de néphrologie B, hôpital Calmette, CHRU Lille, France.
authors.forename: R
authors.initials: R
authors.lastname: Patte-Greangeot
authors.forename: E
authors.initials: E
authors.lastname: Boulanger
authors.forename: F R
authors.initials: FR
authors.lastname: Antonescu
authors.forename: J F
authors.initials: JF
authors.lastname: Césari
authors.forename: F P
authors.initials: FP
authors.lastname: Wambergue
authors.forename: A
authors.initials: A
authors.lastname: Wambergue
authors.forename: P
authors.initials: P
authors.lastname: Fontaine
authors.forename: A
authors.initials: A
authors.lastname: Cotten
authors.forename: M L
authors.initials: ML
authors.lastname: Ferrier
authors.forename: D
authors.initials: D
authors.lastname: Pagniez
authors.forename: P
authors.initials: P
authors.lastname: Dequiedt
mesh_terms: 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