1. Diabetic Myonecrosis: An Atypical Presentation
- Author
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Mildred Padilla, E. Gonzalez, María de Lourdes Miranda, Torres O, Coromoto Palermo, Ivan Laboy, Ignacio Chinea Espinoza, José Hernán Martínez, Rafael Tirado, Michelle Marie Mangual Garcia, Mirelis Miranda, and Kyrmarie Davila
- Subjects
medicine.medical_specialty ,lcsh:RC648-665 ,business.industry ,Endocrinology, Diabetes and Metabolism ,Thigh muscle ,Case Report ,medicine.disease ,lcsh:Diseases of the endocrine glands. Clinical endocrinology ,Surgery ,Tenderness ,Diabetic myonecrosis ,medicine ,Poorly controlled diabetes mellitus ,Presentation (obstetrics) ,medicine.symptom ,business ,Complication - Abstract
Diabetic myonecrosis is a frequently unrecognized complication of longstanding and poorly controlled diabetes mellitus. The clinical presentation is swelling, pain, and tenderness of the involved muscle, most commonly the thigh muscles. Management consists of conservative measures including analgesia and rest. Short-term prognosis is good, but long-term prognosis is poor with most patients dying within 5 years. Failure to properly identify this condition will expose the patient to aggressive measures that could result in increased morbidity. To our knowledge this is the first case reported in which there was involvement of multiple muscle groups including upper and lower limbs.
- Published
- 2013