title: Diabetic muscle infarction: an unusual cause of acute limb swelling in patients on hemodialysis.
abstract: Acute muscle infarction in diabetic patients on dialysis has rarely been reported. We present a small case series of 4 patients with unusally "inflammatory" presentations that caused diagnostic challenges. Diabetic muscle infarction should be in the differential diagnosis of acutely swollen lower limbs in dialysis patients.
authors.affiliation: Renal Department, London SE1 9RT, England UK.
authors.forename: Narbeh
authors.initials: N
authors.lastname: Melikian
authors.forename: John
authors.initials: J
authors.lastname: Bingham
authors.forename: David J A
authors.initials: DJ
authors.lastname: Goldsmith
mesh_terms: D000925:Anticoagulants / Q000009:adverse effects; D001161:Arteriosclerosis / Q000150:complications; D002097:C-Reactive Protein / Q000032:analysis; D002114:Calcinosis / Q000150:complications; D002481:Cellulitis / Q000175:diagnosis; D048909:Diabetes Complications; D003925:Diabetic Angiopathies / Q000150:complications; D003928:Diabetic Nephropathies / Q000150:complications; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D004487:Edema / Q000209:etiology*; D005260:Female; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000473:pathology; D005334:Fever / Q000209:etiology; D006493:Heparin / Q000009:adverse effects; D006801:Humans; D007238:Infarction / Q000175:diagnosis / Q000209:etiology*; D007676:Kidney Failure, Chronic / Q000209:etiology / Q000628:therapy; D007866:Leg; D007964:Leukocytosis / Q000209:etiology; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000098:blood supply*; D006435:Renal Dialysis; D013924:Thrombophlebitis / Q000175:diagnosis; D014463:Ultrasonography
chemical_list: D000925:Anticoagulants; D006493:Heparin; D002097:C-Reactive Protein