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A Wolf in Sheep's Clothing: An Unusual Presentation of Diabetic Myonecrosis
Harika Boinpally1, Raelina S Howell, Joseph Mazzie
1Harika Boinpally, MD • Research Volunteer • Department of Surgery • NYU Winthrop Hospital, Mineola, New York Raelina S. Howell, MD • Clinical Research Fellow • Department of Surgery • NYU Winthrop Hospital, Mineola, New York Joseph Mazzie, DO • Radiology Residency Program Director • Department of Radiology • NYU Winthrop Hospital, Mineola, New York Eric Slone, MD • Attending Physician • Department of Surgery • NYU Winthrop Hospital, Mineola, New York Jon S. Woods, MD • Clinical Research Fellow • Department of Surgery • NYU Winthrop Hospital, Mineola, New York Brian M. Gillette, PhD • Research Scientist • Department of Surgery • NYU Winthrop Hospital, Mineola, New York Michael Castellano, MD • Chief • Division of Wound Healing and Regeneration • NYU Winthrop Hospital, Mineola, New York Scott Gorenstein, MD, FACEP • Clinical Director • Department of Surgery • NYU Winthrop Hospital, Mineola, New York.
General Purpose:
To provide information about the diagnosis and treatment of diabetic myonecrosis (DMN).This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care.After participating in this educational activity, the participant should be better able to:1. Cite the incidence and symptomatology of diabetic myonecrosis.2. Identify the diagnostic tests associated with DMN.3. Summarize the evidence-based treatments for DMN.Diabetic myonecrosis is a rare complication of poorly controlled diabetes mellitus that presents similarly to many common conditions such as cellulitis, abscess, and fasciitis. Therefore, a high index of suspicion is required for diagnosis. Magnetic resonance imaging is the investigative test of choice. Treatment includes antiplatelet therapy, nonsteroidal anti-inflammatory agents, and glycemic control.