Diabetic Myonecrosis: Rare Complication of a Common Disease

Authors

  • Muhammad Saiful Islam Department of Medicine, BIRDEM General Hospital, Dhaka
  • Rafi Nazrul Islam Department of Nephrology, BIRDEM General Hospital , Dhaka
  • Mohammad Sakhawat Hossen Khan Department of Nephrology, BIRDEM General Hospital , Dhaka
  • Wasim Md Mohosin Ul Haque Department of Nephrology, BIRDEM General Hospital , Dhaka
  • Mohammad Ashraful Islam Department of Medicine, Dhaka Medical College Hospital, Dhaka

DOI:

https://doi.org/10.3329/birdem.v8i3.38136

Keywords:

Diabetic Myonecrosis, Diabetic Mellitus, Complication

Abstract

We report a case of sudden left thigh pain in adductor muscles of medial compartment, known as diabetic myonecrosis, in a 50-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. 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.

Birdem Med J 2018; 8(3): 263-265

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Published

2018-09-10

How to Cite

Islam, M. S., Islam, R. N., Khan, M. S. H., Ul Haque, W. M. M., & Islam, M. A. (2018). Diabetic Myonecrosis: Rare Complication of a Common Disease. BIRDEM Medical Journal, 8(3), 263–265. https://doi.org/10.3329/birdem.v8i3.38136

Issue

Section

Case Reports