Diabetic muscle infarction.
Diabetic muscle infarction (DMI) is a rare complication of longstanding, poorly controlled diabetes. Only a few cases have been reported in the literature. The case of a 34-year-old man with a 7-year history of type 2 diabetes mellitus, with sudden onset of left thigh pain, is described here. A final diagnosis of DMI was made, the pathophysiology of which remains unclear. MRI findings were diagnostic and characteristic. The management of this condition is usually symptomatic. Short-term prognosis is very good; however, the recurrence rate is high. Long-term prognosis is poor, with most patients dying from cardiovascular complications of diabetes within 5 years of diagnosis. This case supports the need for a high index of suspicion, when a poorly controlled patient with diabetes presents with non-traumatic limb pain.
Mathew
Antony
A
Princess of Wales Hospital, Bridgend, UK. AntonyMat@aol.com
Reddy
I Sreenath
IS
Archibald
Colin
C
D000328:Adult; D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D004630:Emergencies; D006801:Humans; D007238:Infarction / Q000150:complications / Q000175:diagnosis*; D008297:Male; D018482:Muscle, Skeletal / Q000098:blood supply*; D010146:Pain / Q000209:etiology; D013848:Thigh