Spontaneous diabetic myonecrosis: report of four cases from a tertiary care institute

Endocrinology, Diabetes & Metabolism Case Reports

article

Soham Mukherjee¹  Anuradha Aggarwal¹  Ashu Rastogi¹  Anil Bhansali¹  Mahesh Prakash¹  Kim Vaiphei¹  Pinaki Dutta¹ 

[1] Post Graduate Institute of Medical Education and Research

关键词: Adult;    Female;    Asian - Indian;    India;    Pancreas;    Diabetes/pancreas;    Insulin;    Diabetes mellitus type 2;    Diabetic muscle infarction;    Myalgia;    Leg pain;    Soft tissue swelling;    MRI;    Biopsy;    Ultrasound scan;    Paracetamol;    Codeine;    Tramadol;    Unique/unexpected symptoms or presentations of a disease;    May;    2015;   

DOI  :  10.1530/EDM-15-0003

学科分类：血液学

来源: Bioscientifica Ltd.

【 摘 要 】

Spontaneous diabetic muscle infarction (DMI) is a rare and under diagnosed complication of diabetes mellitus. Clinically itpresents with acute to subacute onset swelling, pain and tenderness of muscle(s) without systemic manifestations. MRI ishelpful in diagnosis, exclusion of other causes and for localization of affected muscle for biopsy in atypical cases. Muscles ofthe thighs are commonly affected in diabetic myonecrosis (DMN). Here we present the summary of four cases seen in the last3 years in a tertiary care centre with simultaneous or sequential involvement of multiple groups of muscles or involvementof uncommon sites. All these patients had advanced duration of diabetes with microvascular complications and poorglycemic control. Conservative management including rest and analgesics is the treatment of choice. Short-term prognosisis good but there may be recurrence.

【 授权许可】

CC BY-NC-ND