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[Muscle infarction. An unknown complication of diabetes mellitus]
R Patte-Greangeot1, E Boulanger, F R Antonescu
1Service de néphrologie B, hôpital Calmette, CHRU Lille, France.
Introduction:
Diabetic muscle infarction (MI) is a rare and little-known complication of diabetes mellitus.
Case Report:
We report a case of relapsing MI in which magnetic resonance imaging (MRI) suggested the diagnosis. A 53-year-old man with multi-complicated type II diabetes mellitus was admitted to our unit for illness and deep tumefaction of the right thigh. Because of unconclusive MRI, a muscular biopsy of the lesion was performed and MI confirmed. Three months after, a left relapse of MI occurred. Immediate treatment with immobilization and heparinotherapy permitted a rapid recovery.
Conclusion:
About 70 previously reported cases are reviewed. The mean age at presentation was about 40 years. MI was usually seen in patients with long-standing diabetes with multiple end organ microvascular complications. Homo- or heterolateral recurrences are reported in almost half of the patients. MRI is the best imaging technique for suggesting the diagnosis.