Painful foot drop; a presentation of diabetic muscle infarction.
BACKGROUND
Macro- and microvascular complications of diabetes are varied and can present with a range of clinical signs and symptoms. Diabetic muscle infarction is a rare vascular complication of diabetes that is often not recognized.


METHODS
We report a case of diabetic muscle infarction, where a 65-year-old woman with Type 2 diabetes presented with acute-onset severe pain in her right leg and foot drop.


CONCLUSIONS
Her foot drop was a result of a concomitant compression nerve injury as a consequence of the muscle oedema following infarction. Our case highlights the importance of early recognition and investigation of atypical presentations of vascular complications of diabetes.
Karalliedde
J
J
Department of Diabetes and Endocrinology, Guy's and St Thomas' NHS Foundation Trust, London, UK. j.karalliedde@kcl.ac.uk
Vijayanathan
S
S
Thomas
S
S
D000368:Aged; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000503:physiopathology*; D003925:Diabetic Angiopathies / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D005260:Female; D005528:Foot / Q000098:blood supply*; D020233:Gait Disorders, Neurologic / Q000175:diagnosis*; D006801:Humans; D007238:Infarction / Q000209:etiology / Q000503:physiopathology*; D018482:Muscle, Skeletal / Q000098:blood supply; D010146:Pain / Q000209:etiology / Q000503:physiopathology