Diabetic Muscle Infarction: An Uncommon Diabetic Complication With a Lack of Standardized Treatment
Carlos S Botero Suarez1,2, Moises Matos1,2, Sowmya Suryanarayanan3
1Endocrinology, Diabetes, and Metabolism Fellowship, University of Central Florida HCA Healthcare GME, Greater Orlando, Kissimmee, FL 34741, USA.
Abstract:
Diabetic muscle infarction (DMI) is a rare yet serious complication that has been strongly associated with uncontrolled diabetes, although other risk factors are unclear. DMI is an uncommon complication of diabetes with a lack of structured guidelines for evaluation or management. End-stage renal disease (ESRD) could have further implications in patients with DMI in terms of management given that nonsteroidal anti-inflammatory drugs (NSAIDs), which have been shown to reduce the recovery times and recurrence of DMI, could be contraindicated. We present a rare case of DMI in an African American man with ESRD who presented for new-onset right lower-extremity pain and swelling. We discuss the challenges involved with the diagnosis and treatment of this rare condition. This case adds to the knowledge of DMI, which is limited because of the low incidence of this condition, and it helps us understand how this condition affects the African American population and patients with ESRD.
Insights
Diabetic muscle infarction (DMI) is a rare complication of uncontrolled diabetes. This case highlights challenges in managing DMI in patients with end-stage renal disease (ESRD).
Area of Science:
- Endocrinology
- Nephrology
- Vascular Medicine
Background:
- Diabetic muscle infarction (DMI) is a rare complication of diabetes mellitus, often linked to poor glycemic control.
- Limited guidelines exist for DMI evaluation and management, complicating clinical practice.
- End-stage renal disease (ESRD) presents unique challenges, particularly regarding contraindications for treatments like NSAIDs.
Observation:
- A case of DMI in an African American male with ESRD is presented.
- The patient experienced new-onset right lower-extremity pain and swelling.
- Diagnostic and therapeutic hurdles in this specific patient population were observed.
Findings:
- The case underscores the rarity of DMI and its association with diabetes.
- It highlights the diagnostic and management complexities of DMI in patients with ESRD.
- The presentation adds to the limited understanding of DMI in African American individuals.
Implications:
- This case contributes to the scarce literature on DMI, especially in minority populations.
- It emphasizes the need for tailored management strategies for DMI in patients with ESRD.
- Further research is warranted to elucidate DMI's impact on specific demographics and co-morbidities.
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