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Related Experiment Videos

Diabetic muscle infarction: radiologic evaluation

D P Chason1, J L Fleckenstein, D K Burns

  • 1Algur H. Meadows Diagnostic Imaging Center, University of Texas, Southwestern Medical Center, Dallas 75235-8896, USA.

Skeletal Radiology
|February 1, 1996
PubMed
Summary
This summary is machine-generated.

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Diabetic muscle infarction (DMI) can be mistaken for other conditions. Imaging, particularly MRI, can help radiologists diagnose DMI in diabetic patients, potentially avoiding invasive biopsies.

Area of Science:

  • Radiology
  • Endocrinology
  • Pathology

Background:

  • Diabetic muscle infarction (DMI) is a rare complication of diabetes mellitus.
  • DMI is often misdiagnosed as abscess, neoplasm, or myositis, leading to unnecessary biopsies.

Purpose of the Study:

  • To present clinical and radiologic findings of DMI.
  • To enable radiologists to suggest the correct diagnosis of DMI.

Main Methods:

  • Evaluation of four patients with severe diabetes mellitus presenting with acute thigh pain, tenderness, and swelling.
  • Utilized imaging techniques including MRI, CT, and ultrasound, along with biopsy.

Main Results:

  • MRI showed muscle edema in two patients.

Related Experiment Videos

  • CT revealed femoral artery calcification and mild muscle swelling in one patient.
  • Ultrasound demonstrated decreased echogenicity in the affected muscle of one patient. Biopsies confirmed necrosis and regenerative changes.

    • Conclusions:

    • MRI is the most effective imaging technique for suggesting DMI in the appropriate clinical context.
    • Radiologic findings can help obviate the need for biopsy in suspected DMI cases.