Case Report

Diabetic Muscle Infarction: Case Report and Review

SUNEIL KAPUR, JACQUES A. BRUNET, and ROBERT JOHN McKENDRY

ABSTRACT.

We describe a 61-year-old woman with a 16-year history of type 2 diabetes mellitus with sudden and spontaneous onset of left anteromedial thigh pain and swelling. Her pain was so severe that she could not bear weight. She had no other musculoskeletal or constitutional symptoms. Her diabetes was poorly controlled. She had diabetic retinopathy and endstage nephropathy requiring dialysis. An extensive literature review of diabetic muscle infarction is provided. (J Rheumatol 2004; 31:190-4)

Key Indexing Terms:

DIABETIC
MUSCLE
INFARCTION

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From the Division of Rheumatology, Department of Medicine, Ottawa Hospital, Ottawa, Ontario, Canada.

S. Kapur, MD, FRCPC, Rheumatology Fellow, University of Ottawa; J.A. Brunet, MD, FRCSC, Associate Professor of Surgery, Division of Orthopedic Surgery, University of Ottawa; R.J. McKendry, MD, FRCPC, Professor of Medicine, University of Ottawa, Ottawa Hospital.

Address reprint requests to Dr. S. Kapur, Bank Medical Centre, 1935 Bank Street, Ottawa, Ontario K1V 8A3, Canada. E-mail: skapur@ottawahospital.on.ca

Submitted November 25, 2002; revision accepted July 24, 2003.

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