| Autor: |
Callie Seaman, Michael Amos, Adam M. Franks, Asher Sexton, Kimberly McClelland, Erika M. Harris |
| Jazyk: |
angličtina |
| Rok vydání: |
2019 |
| Předmět: |
|
| Zdroj: |
Marshall Journal of Medicine, Vol 5, Iss 4, Pp 28-37 (2019) |
| Druh dokumentu: |
article |
| ISSN: |
2379-9536 |
| DOI: |
10.33470/2379-9536.1232 |
| Popis: |
Diabetic muscle infarction (DMI) is a rare microvascular complication of spontaneous ischemic necrosis of skeletal muscle in patients with poorly controlled diabetes. We herein describe the case of a 26-year-old woman with a history of type I diabetes and accompanying diabetic microvascular complications of neuropathy, nephropathy and retinopathy, who presented with sudden onset of swelling and sharp pain in her bilateral thighs. T2-weighted MRI imaging revealed subcutaneous edema and sub-fascial, hyper-intense enhancement of proximal thigh musculature. DMI has a relatively non-specific clinical presentation; therefore, physician awareness is key for early diagnosis, as aggressive management has been associated with poor patient outcomes. With poor long-term prognosis and high reoccurrence, DMI acts as an indicator of vascular end-organ damage. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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