A Case of Diabetic Muscle Infarction in a Patient with Insulin Dependent Diabetes Mellitus

Jang, Joon Ho; Nam, Jae Hyun; Kang, Woong Chul; Jung, Jung Il; Kwon, Suk Ho; Yoon, Yong Suck; Cha, Bong Soo; Won, Young Joon; Song, Young Duk; Lim, Sung Kil; Kim, Kyung Rae; Lee, Hyun Chul; Huh, Kap Bum

Abstract

Diabetic muscle infarction(DMI) is an uncommonly reported complicatian of diabetes mellitus, DMI tends to occur in younger, poorly controlled diabetic patients with other end organ complications(retinopathy, nephropathy, neuropathy). The typical feature of DMI is abrupt onset of thigh pain, tenderness, and swelling, over a period of days, and a firm mass develops. There are no associated systemic symptoms or signs indicative of infection and no skin discoloration suggestive of cellulitis or thrombophlebitis. The patient was diagnosed as DMI with the findings of ultrasonographic, bone scan and magnetic resonance imaging as well as typical clinical and laboratory findings. The painful mass persists for weeks, occasionally with exacerbation of symptoms, and then spontaneously resolves over several montks. Immobilization of the extremity with prolonged bed rest and strict sugar control has had beneficial results. We report a case of diabetic muscle infarction in a 30-year-old woman with insulin dependent diabetes mellitus