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

[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.

[学科分类] 血液学

[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