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Diabetic muscle infarction in a patient admitted to the cardiac ward

Chao-Ping Yu1, Tian-Hu Liu, Bin Wang

  • 1Department of Cardiology, Pi County People's Hospital, China.

Internal Medicine (Tokyo, Japan)
|June 3, 2014
PubMed

Insights

Diabetic muscle infarction (DMI) is a rare diabetes complication. This case highlights DMI

Area of Science:

  • Cardiology
  • Endocrinology
  • Radiology

Background:

  • Diabetic muscle infarction (DMI) is a rare complication of long-standing diabetes mellitus.
  • This report details the first case of DMI managed by cardiologists.

Observation:

  • A 49-year-old patient with a 2-year history of diabetes and hypertension presented with left thigh pain and bilateral lower extremity edema.
  • Initial clinical presentation was atypical and not immediately suggestive of DMI.

Findings:

  • Magnetic resonance imaging (MRI) confirmed DMI in the left thigh.
  • The patient's condition improved with anticoagulants, analgesics, and rest.

Implications:

  • DMI diagnosis can be challenging for non-endocrinologists due to its rarity and atypical initial symptoms.
  • Increased awareness among physicians is crucial for timely diagnosis and management of DMI.

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