Diabetic myonecrosis

Omar, Hesham R.; Kokebie, Rediet

doi:10.1097/xce.0b013e32835eca6b

Cited by 1 publication

(1 citation statement)

References 23 publications

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“…The initial research from 1965 noted histological findings of diabetic microangiopathy and arteriosclerosis; however, why it presents acutely is still unknown (Kempegowda et al, 2019). Diabetic myonecrosis is a self-limiting disease with an excellent short-term prognosis, but it heralds poor long-term prognosis (Omar & Kokebie, 2013). Only some 200 cases of this disease have been reported, probably related to underdiagnosis because it can mimic many other pathologies.…”

Section: Introductionmentioning

confidence: 99%

Diabetic myonecrosis: An easily overlooked cause of limb pain in diabetic patients

Wells,

Sorsby

2023

J Am Assoc Nurse Pract

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Diabetic myonecrosis (DMN) is an underdiagnosed cause of spontaneous extremity pain and swelling in patients with diabetes. Failure to consider this diagnosis in patients with recent onset of extremity pain may lead to inappropriate testing and to treatment that worsens symptoms and delays healing. The following is a case report of recurrent diabetic myonecrosis in a 36-year-old woman that highlights several typical features of this uncommon disorder. We discuss the differential diagnosis and how to rapidly identify DMN, as well as best practices for the treatment of the disorder. We approach most types of muscular pain issues with stretching and exercise, but this approach can result in increased pain and delayed resolution in patients with DMN. Nurse practitioners and other providers should consider DMN when faced with a patient with diabetes and spontaneous extremity pain and understand how to efficiently diagnose this disorder and rule out other causes.

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Section: Introductionmentioning

confidence: 99%