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Diabetic Muscle Infarction: An Uncommon Cause for Acute Limb Pain in Dialysis Patients

Y J Anupama1, Praveen Upadhyaya2

  • 1Department of Nephrology, Nanjappa Hospital, Shivamogga, Karnataka, India.

Indian Journal of Nephrology
|March 1, 2019
PubMed

Insights

Diabetic muscle infarction (DMI) is a rare complication of diabetes, often linked to kidney disease. Early recognition in dialysis patients with limb pain is crucial for timely diagnosis and management.

Area of Science:

  • Endocrinology
  • Nephrology
  • Vascular Medicine

Background:

  • Diabetic muscle infarction (DMI) is an uncommon complication of poorly controlled diabetes mellitus.
  • It is frequently associated with other microvascular complications and chronic kidney disease.
  • DMI is often under-recognized, contributing to its rarity in reported literature.

Observation:

  • This study presents two cases of DMI in patients undergoing dialysis.
  • The patients presented with acute onset of limb pain, a key symptom for consideration.
  • The cases highlight the importance of considering DMI in dialysis patients with unexplained limb pain.

Findings:

  • DMI is a rare but significant complication in patients with diabetes and chronic kidney disease.
  • Acute limb pain in dialysis patients warrants evaluation for DMI.
  • Clinical characteristics of DMI cases were reviewed alongside available literature.

Implications:

  • A diagnostic algorithm for evaluating dialysis patients with limb pain is proposed.
  • Increased awareness and recognition of DMI can lead to earlier diagnosis.
  • Prompt management of DMI can potentially improve patient outcomes and prevent complications.
Keywords:
Diabetic muscle infarctiondialysismagnetic resonance imagingmicrovascular complication

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