Diabetic myonecrosis in a cystic fibrosis patient.
Cystic fibrosis (CF) related diabetes is an increasingly common comorbidity in CF patients, with scarce data on end-stage complications in the CF population. We report the case of a 32-year-old with poorly controlled diabetes presenting with sub-acute leg pain and focal quadriceps tenderness. Neuromuscular testing and extensive workup revealed diabetic myonecrosis. To our knowledge, this is the first reported case of diabetic myonecrosis in a patient with CF, and highlights the need for pulmonary physicians to recognize this diabetic complication in CF patients, which is associated with a poor long-term prognosis and existing microvascular complications.
Section of Pediatric Pulmonology.
Benjamin T
BT
Kopp
Stephen
S
Kirkby
Don
D
Hayes
Kevin M
KM
Flanigan
D000328:Adult; D003550:Cystic Fibrosis / Q000150:complications* / Q000175:diagnosis; D048909:Diabetes Complications / Q000150:complications* / Q000175:diagnosis; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D018482:Muscle, Skeletal / Q000473:pathology*; D009135:Muscular Diseases / Q000175:diagnosis / Q000209:etiology*; D009336:Necrosis; D013848:Thigh
cystic fibrosis; diabetes mellitus; leg pain; microvascular; myonecrosis