[Diabetic muscle infarction].
BACKGROUND
Diabetic muscle infarction is a rare complication of diabetes mellitus that typically presents in the thigh; microvascular abnormalities may play a role.


METHODS
A 32-year-old female presented at the outpatient clinic with a painful, swollen thigh. She had suffered from type 1 diabetes for 22 years. The patient was admitted to the nephrology ward for further evaluation. Deep-venous thrombosis and abscess were excluded with echography. After additional investigations - MRI and a biopsy of skin, muscle and fascia - the diagnosis diabetic muscle infarction was made. The patient was treated with bed rest and analgesics. With hindsight, the muscle biopsy was not actually required in reaching a diagnosis.


CONCLUSIONS
The diagnosis 'diabetic muscle infarction' is made on the basis of clinical presentation in combination with MRI findings. The treatment consists of bed rest and analgesics.
Onze Lieve Vrouwe Gasthuis, Amsterdam.
Edske
E
ter Bals
Henk-Jan
HJ
van der Woude
Yves F C
YF
Smets
D000328:Adult; D001510:Bed Rest; D001706:Biopsy; D003922:Diabetes Mellitus, Type 1 / Q000503:physiopathology*; D005260:Female; D006801:Humans; D007238:Infarction / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology; D007866:Leg / Q000473:pathology; D008279:Magnetic Resonance Imaging; D009132:Muscles / Q000098:blood supply* / Q000473:pathology; D010146:Pain / Q000175:diagnosis / Q000209:etiology; D013848:Thigh / Q000098:blood supply / Q000473:pathology