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[Diabetic muscle infarct].

H S Willenberg1, K Wiefels, E Driesch

  • 1Deutsches Diabetes-Forschungsinstitut, Heinrich-Heine-Universität Düsseldorf.

Deutsche Medizinische Wochenschrift (1946)
|March 8, 2000
PubMed
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Diabetic muscle infarction, a rare complication, presents with calf pain and swelling. This case highlights diagnosis via imaging and successful symptomatic treatment, confirming non-invasive diagnostic approaches.

Area of Science:

  • Endocrinology
  • Musculoskeletal Medicine
  • Diagnostic Imaging

Background:

  • Diabetic muscle infarction (DMI) is a rare complication in patients with diabetes mellitus.
  • It typically affects the lower extremities, causing acute pain and swelling.

Observation:

  • A 64-year-old diabetic male presented with acute calf pain, immobility, and palpable nodules.
  • Elevated creatine kinase and specific MRI findings supported the diagnosis.
  • Ultrasound and duplex-sonography ruled out thrombosis and embolism.

Findings:

  • The patient experienced complete symptom resolution within 14 days with symptomatic treatment.
  • Serum creatine kinase levels normalized, and leg mobility was restored.
  • This case demonstrates the full clinical course of diabetic muscle infarction.

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Implications:

  • Diabetic muscle infarction can be diagnosed non-invasively using clinical presentation, ultrasound, and MRI.
  • Early diagnosis and symptomatic management lead to favorable outcomes.
  • This case underscores the importance of considering DMI in diabetic patients with unexplained leg pain.