Diabetic Myonecrosis: Uncommon Complications in Common Diseases. (10th March 2014)

• Record Type: Journal Article
• Authors: Sran, Sisira; Sran, Manpreet; Ferguson, Nicole; Anand, Prachi
• Other Names: Frindik J. P. Academic Editor.; Mastrandrea L. Academic Editor.; Zhang X. Academic Editor.
• Is Part Of: Case reports in endocrinology. Volume 2014(2014)
• Publication Date: 2014-03-10
• Subjects: Endocrinology -- Periodicals; Endocrinology -- Case studies -- Periodicals; Endocrine glands -- Diseases -- Periodicals; Endocrinology; Endocrine System Diseases; Endocrine glands -- Diseases; Endocrinology; Electronic journals; Periodicals; Case studies; Periodicals; Case Reports; Fulltext; Internet Resources; Periodicals; 616.4
• DOI: 10.1155/2014/175029
• Languages: English
• ISSNs: 2090-6501

Abstract

Abstract : We report a case of sudden thigh pain from spontaneous quadriceps necrosis, also known as diabetic myonecrosis, in a 28-year-old patient with poorly controlled diabetes mellitus. Diabetic muscle infarction is a rare end-organ complication seen in patients with poor glycemic control and advanced chronic microvascular complications. Proposed mechanisms involve atherosclerotic microvascular occlusion, ischemia-reperfusion related injury, vasculitis with microthrombi formation, and an acquired antiphospholipid syndrome. Diabetic myonecrosis most commonly presents as sudden thigh pain with swelling and should be considered in any patient who has poorly controlled diabetes mellitus.