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Diabetic muscle infarction: often misdiagnosed and mismanaged

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submitted on 2024-03-13, 08:59 and posted on 2024-03-13, 08:59 authored by Mohamud A. Verjee, Nael Amin Abdelsamad, Salman Qureshi, Rayaz A. Malik


A patient with type 2 diabetes, retinopathy, neuropathy, and nephropathy presented with severe right distal thigh pain, which awoke him from sleep. He was diagnosed with musculoskeletal pain and discharged home. Two days later, the severity of pain increased in his right thigh and, subsequently, he developed pain in the proximal lateral aspect of his left thigh, for which he returned to hospital. He had elevated creatine kinase and myoglobin levels. An ultrasound of the right thigh identified a loss of definition of the normal muscular striations and subcutaneous edema. On MRI, the axial STIR image demonstrated extensive T2 hyperintensity in the right vastus medialis and left vastus lateralis, consistent with the diagnosis of diabetic muscle infarction (DMI). This presentation emphasizes the need for a thorough patient history and physical examination, and the importance of directed imaging for the prompt diagnosis of DMI.


Other Information

Published in: Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy
License: https://creativecommons.org/licenses/by-nc/4.0/
See article on publisher's website: https://dx.doi.org/10.2147/dmso.s185839

Funding

Open Access funding provided by the Qatar National Library.

History

Language

  • English

Publisher

Dove Medical Press

Publication Year

  • 2019

License statement

This Item is licensed under the Creative Commons Attribution-NonCommercial 4.0 International License

Institution affiliated with

  • Weill Cornell Medicine - Qatar
  • Hamad Medical Corporation

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    Weill Cornell Medicine - Qatar

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