Spontaneous Diabetic Myonecrosis

Reyes-Balaguer, Javier; Solaz-Moreno, Elena; Morata-Aldea, Carmen; Elorza-Montesinos, Patricia

doi:10.2337/diacare.28.4.980-a

Cited by 17 publications

(7 citation statements)

References 7 publications

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“…Our patient presented with left thigh pain and swelling, with previous similar presentations in the contralateral side. Similar to other cases described in literature, our patient had been a poorly controlled diabetic with microvascular complications and ESRD on hemodialysis [1,5,6]. In a series by Lentine et al, it was observed that DMI is more common in hemodialysis patients versus peritoneal dialysis patients, which may reflect a triggering effect of hemodialysis on muscle infarction [7].…”

Section: Discussionsupporting

confidence: 59%

Diabetic muscle infarction with complications

Cabrera¹,

Michel²,

Lu³

et al. 2013

IJCRI

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Section: Discussionsupporting

confidence: 59%

Diabetic muscle infarction with complications

Cabrera¹,

Michel²,

Lu³

et al. 2013

IJCRI

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“…The pathophysiology behind spontaneous diabetic myonecrosis is hypothesized to be secondary to the effects of atherosclerosis and underlying diabetic microangiopathy. 7 Thankfully, diabetic muscle infarction has a good short-term prognosis and can be managed with rest, tightened glycemic control, and pain management. 4,8 Patients should be monitored for recurrence, but resolution can be expected as early as a few weeks to a few months.…”

Section: Discussionmentioning

confidence: 99%

A case of diabetic myonecrosis: A rare complication of a common disease

Alkhoury

2019

SAGE Open Medical Case Reports

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Diabetes mellitus is a growing concern in today’s population and a common cause of significant morbidity and mortality in those affected. Diabetic myonecrosis is an uncommon condition that can be seen in uncontrolled, long-standing diabetic patients who complain of localized, sudden-onset muscle pain. We present a 57-year-old woman with type 2 diabetes mellitus who presented to the emergency department with left-sided pelvic pain for the past 2 months. The pain had progressively gotten worse with a significant reduction in the range of motion of her left hip. Magnetic resonance imaging imaging revealed focal enhancement, edema, and enlargement of the left iliacus muscle. Assessment of serum glucose and hemoglobin A1c revealed a history of poor diabetic control, eventually giving rise to a diagnosis of diabetic myonecrosis. She was discharged with a new diabetic regimen, pain control, and outpatient physical therapy.

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“…3 It is equally common in males and females, 4 with an average age at presentation of 43 years. 1 It usually presents as sudden non-traumatic tender swelling of the thigh or calf, with the pain present at rest and aggravated by movement. Patients rarely show any signs of systemic illness, however, in some patients infection may be mimicked by a pyrexia and leucocytosis.…”

Section: Discussionmentioning

confidence: 99%

“…She was afebrile and haemodynamically stable with a tender swollen area in the mid upper right thigh and was unable to weight bear on the limb. Investigations are shown in table 1.…”

Section: Casementioning

confidence: 99%