title: Risking Life and Limb: A Case of Spontaneous Diabetic Muscle Infarction (Diabetic Myonecrosis).
abstract: Diabetic muscle infarction, also known as diabetic myonecrosis, is a microvascular complication of poorly controlled diabetes mellitus characterized by unilateral limb pain and swelling. Because these symptoms closely mimic cellulitis and thromboembolism, diagnosis is often delayed or missed altogether, leading to increased morbidity and inappropriate treatment. We describe a case of unilateral limb pain and swelling due to diabetic muscle infarction in a 36-year-old patient with poorly controlled diabetes mellitus. We also review the literature on the diagnosis, prognosis, and management of this under-recognized condition.
authors.affiliation: Department of Internal Medicine, University of Kentucky, Lexington, KY, USA.
authors.forename: Jeremy
authors.initials: J
authors.lastname: Cumberledge
authors.affiliation: Department of Allergy and Immunology, Department of Rheumatology, University of Iowa, Iowa City, IA, USA.
authors.forename: Bharat
authors.initials: B
authors.lastname: Kumar
authors.affiliation: Department of Internal Medicine, University of Kentucky, Lexington, KY, USA. dwrudy0@email.uky.edu.|Department of Internal Medicine, K521 Kentucky Clinic, 740 South Limestone Street, Lexington, KY, 40536, USA. dwrudy0@email.uky.edu.
authors.forename: David
authors.initials: D
authors.lastname: Rudy
mesh_terms: D000328:Adult; D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D003925:Diabetic Angiopathies / Q000150:complications / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007238:Infarction / Q000000981:diagnostic imaging / Q000209:etiology*; D007866:Leg / Q000098:blood supply* / Q000000981:diagnostic imaging; D008279:Magnetic Resonance Imaging; D018482:Muscle, Skeletal / Q000098:blood supply* / Q000000981:diagnostic imaging; D011379:Prognosis
keywords: diabetes; leg pain; muscle infarction