title: Diabetic myonecrosis: an atypical presentation.
abstract: Diabetic myonecrosis is a frequently unrecognized complication of longstanding and poorly controlled diabetes mellitus. The clinical presentation is swelling, pain, and tenderness of the involved muscle, most commonly the thigh muscles. Management consists of conservative measures including analgesia and rest. Short-term prognosis is good, but long-term prognosis is poor with most patients dying within 5 years. Failure to properly identify this condition will expose the patient to aggressive measures that could result in increased morbidity. To our knowledge this is the first case reported in which there was involvement of multiple muscle groups including upper and lower limbs.
authors.affiliation: Department of Endocrinology, 4th Floor, San Juan City Hospital, CMMS No. 79, P.O. Box 70344, San Juan, PR 00936-8344, USA.
authors.forename: José Hernán
authors.initials: JH
authors.lastname: Martínez
authors.forename: Oberto
authors.initials: O
authors.lastname: Torres
authors.forename: Michelle M
authors.initials: MM
authors.lastname: Mangual García
authors.forename: Coromoto
authors.initials: C
authors.lastname: Palermo
authors.forename: María de Lourdes
authors.initials: Mde L
authors.lastname: Miranda
authors.forename: Eva
authors.initials: E
authors.lastname: González
authors.forename: Ignacio Chinea
authors.initials: IC
authors.lastname: Espinoza
authors.forename: Ivan
authors.initials: I
authors.lastname: Laboy
authors.forename: Mirelis
authors.initials: M
authors.lastname: Miranda
authors.forename: Kyrmarie
authors.initials: K
authors.lastname: Dávila
authors.forename: Rafael
authors.initials: R
authors.lastname: Tirado
authors.forename: Mildred
authors.initials: M
authors.lastname: Padilla