Unusual muscle pain in two patients with diabetic renal failure.
We report on two patients with diabetic muscle infarct, a painful musculoskeletal disorder complicating longstanding diabetes with established microangiopathy. Both patients had renal failure that was treated by dialysis. The underlying pathophysiological process was considered to be an arterial vascular event mediated through ischaemia-reperfusion injury. Clinicians should be alert to this condition. T2-weighted magnetic resonance imaging was valuable in establishing the diagnosis.
Chow
K M
KM
Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong.
Szeto
C C
CC
Griffith
J F
JF
Wong
T Y H
TY
Li
P K T
PK
D000328:Adult; D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D004487:Edema / Q000150:complications; D005260:Female; D006801:Humans; D007238:Infarction / Q000150:complications / Q000175:diagnosis; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000098:blood supply; D010146:Pain / Q000209:etiology*; D051437:Renal Insufficiency / Q000150:complications*; D013848:Thigh