[Multifocal diabetic myonecrosis].
Diabetic muscle infarction is a rare and often unrecognized complication of diabetes. It typically occurs in patients with poorly controlled and multi-complicated diabetes. Typical clinical presentation is an indurate muscle pain, mainly localized in the lower limb with an acute onset. In most cases, diabetes myonecrosis is focal and sometimes can be recurrent. Diagnosis is clinical but can used magnetic resonance imaging (MRI). Muscle biopsy is sometimes necessary in cases of doubt or to confirm the imaging diagnosis. Elevation of muscle enzymes (CPK) is present in half of cases. Management is conservative and the clinical and imaging evolution is usually favourable. We report the case of a patient presenting a subacute hyperalgesic lomboradiculopathy.
Services de Rhumatologie et Médecine physique, Hôpital Erasme, Bruxelles. raphael.uhoda@gmail.com
R
R
Uhoda
A
A
Heuschling
A
A
Sattari
D
D
Hastir
S
S
Soyfoo
L
L
Tant
V
V
Gangji
D048909:Diabetes Complications / Q000175:diagnosis*; D003929:Diabetic Neuropathies / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D007238:Infarction / Q000175:diagnosis / Q000209:etiology; D008297:Male; D008875:Middle Aged; D009135:Muscular Diseases / Q000175:diagnosis* / Q000209:etiology; D009336:Necrosis / Q000175:diagnosis / Q000209:etiology; D011843:Radiculopathy / Q000175:diagnosis / Q000209:etiology