Korean J Nephrol.  2007 Jul;26(4):502-507.

Recurrent Diabetic Muscle Infarction in A Patient on Maintenance Hemodialysis

• Lee YK
• Oh JH
• Kim DH
• Yoo JH
• Yang DH
• Kim HJ

Abstract

Diabetic muscle infarction (DMI) is a rare complication that usually occurs in diabetic patients with advanced microvascular complication. DMI presents with abrupt or subacute onset of pain, tenderness and swelling of a localized muscle group in the lower extremities in most instances. It is usually improved by conservative management such as avoiding weight bearing or pain control, but recurs frequently in 50% of the patients. The diagnosis is based on magnetic resonance imaging (MRI), which is not specific but highly indicative. A forty-nine-years-old female on hemodialysis was admitted presenting with severe pain and swelling of right thigh. To evaluate the causes of leg swelling, angiography and MRI in both legs and muscle biopsy at right thigh were performed. There was no deep vein thrombosis and arteriosclerosis in the lower extremities on angiography. The patient was diagnosed to DMI by MRI. After conservative treatment such as administration of analgesics, anti-platelet agent and physical therapy, pain and swelling of thigh was diminished, but frequently recurred. We describe a case of recurrent diabetic muscle infarction in a patient with maintenance hemodialysis therapy.

Keyword

Infarction; Diabetes mellitus; Dialysis

MeSH Terms

Analgesics
Angiography
Arteriosclerosis
Biopsy
Diabetes Mellitus
Diagnosis
Dialysis
Female
Humans
Infarction*
Leg
Lower Extremity
Magnetic Resonance Imaging
Renal Dialysis*
Thigh
Venous Thrombosis
Weight-Bearing
Analgesics