Diabetic Muscle Infarction

Chow, Kai Ming; Szeto, Cheuk Chun; Wong, Teresa Yuk‐Hwa; Leung, Franky Kay-tai; Cheuk, Au; Li, Philip Kam-tao

doi:10.2337/diacare.25.10.1895

Cited by 22 publications

(16 citation statements)

References 9 publications

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“…Several patients have been reported to have died within two years after being diagnosed with DMI, mostly due to vascular complications associated with diabetes mellitus (1). In one study, the prognosis of DMI among patients with diabetes mellitus was reported to be similar to that observed after myocardial infarction, with both conditions invariably involving significant vascular injury (13).…”

Section: Discussionmentioning

confidence: 81%

Multifocal Diabetic Muscle Infarction: A Rare Complication of Poorly Controlled Diabetes Mellitus

Chebbi¹,

Jerbi²,

Klii

et al. 2014

Intern. Med.

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Diabetic muscle infarction (DMI) is a rare complication of long-standing poorly controlled diabetes mellitus. We herein describe the case of a 56-year-old man with a 10-year history of poorly controlled type 2 diabetes mellitus with multiple microvascular and macrovascular complications who presented with the sudden onset of left thigh pain and swelling. MRI suggested muscle infarction. A muscle biopsy demonstrated coagulation necrosis in the skeletal muscle with inflammation and infarction in the walls of small blood vessels. Physicians should consider DMI in the differential diagnosis of patients with diabetes who present with painful, swollen muscles without systemic signs of infection.

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Section: Discussionmentioning

confidence: 81%

Multifocal Diabetic Muscle Infarction: A Rare Complication of Poorly Controlled Diabetes Mellitus

Chebbi¹,

Jerbi²,

Klii

et al. 2014

Intern. Med.

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“…In a case series of six patients with end-stage renal disease who developed DMI, three died within 2-20 months of diagnosis with a median duration of 10 months. Death was related to infection in 2 of the 3 fatalities and one due to a cardiovascular event [10] . In another case series of six patients, fi ve patients died within 4 years of follow up due to major cardiovascular disease.…”

Section: Discussionmentioning

confidence: 99%

Diabetic Muscle Infarction: A Rare Complication of a Common Disease

Samargandy

Alhozali

2019

Saudi J Intern Med

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Diabetes mellitus is a multifaceted metabolic disease with several serious complications. Diabetic muscle infarction is a rare musculoskeletal diabetic complication that can be frequently misdiagnosed as it shares clinical manifestations with multiple other more common clinical disorders. We present in this report, a case of diabetic myonecrosis with brief discussion about this unusual complication along with its management and expected outcomes.

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“…Chow et al . [3] suggested that the prognosis after skeletal muscle infarction in the diabetic population is similar to that after myocardial infarction.…”

Section: Discussionmentioning

confidence: 99%

“…Most have multiple microvascular complications of diabetes. It may thus represent a 'terminal' micro-angiopathic complication [3]. Muscle infarction mainly involves the muscles of the thigh, especially the quadriceps femoris, with the calf being affected in relatively few cases.…”

Section: Discussionmentioning

confidence: 99%