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Related Experiment Videos

Bilateral diabetic thigh muscle infarction

R J Barohn1, C Bazan, J H Timmons

  • 1Department of Neurology, University of Texas-Southwestern Medical Center, Dallas 75235-9036.

Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging
|January 1, 1994
PubMed
Summary

This case study highlights bilateral diabetic thigh infarction in a young woman. Advanced imaging techniques like radionuclide scans, MRI, and ultrasound confirmed the diagnosis and showed improvement over time.

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Area of Science:

  • Radiology
  • Endocrinology
  • Musculoskeletal Imaging

Background:

  • Insulin-dependent diabetes mellitus (IDDM) can present with various complications.
  • Diabetic myopathy is a recognized but less common complication of diabetes.
  • Thigh infarction is a rare manifestation of diabetic muscle damage.

Observation:

  • A 19-year-old woman with IDDM presented with bilateral thigh and calf pain.
  • Symptoms progressed over one week, affecting both legs.
  • Clinical presentation suggested a musculoskeletal issue requiring detailed imaging.

Findings:

  • Technetium 99m pyrophosphate (PYP) scans revealed increased flow and uptake in thigh muscles.
  • MRI demonstrated abnormal signal intensity in thigh compartments on proton density and T2-weighted images.

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  • High-resolution ultrasound showed hyperechoic changes and altered myofascial interfaces in thigh muscles, bilaterally.

    • Implications:

    • This case illustrates the utility of multimodal imaging in diagnosing rare diabetic complications.
    • Abnormal PYP scans, MRI signals, and ultrasound findings are indicative of diabetic thigh infarction.
    • Early identification and monitoring of diabetic thigh infarction may be crucial for patient management.