[Recurrent infarct in a young female diabetic]

A case with repeated myocardial infarction is reported in a 23-year old female diabetic, established at necropsy and not diagnosed while still living. The infarctions had been painless and their electrocardiographic manifestation had not been definite. Generalized atherosclerosis with coronary sclerosis was pathologoanatomically established, with no obturating thrombus in the magistral vessels. Diffuse microangiopathic changes, in myocardium including, were present. The pathogenetic possibilities, associated with the characteristics of the clinical picture were discussed.