Korean J Med.  2013 May;84(5):737-741.

Case of Recurrent Diabetic Muscle Infarction Related to Strict Blood Glucose Control

• Yu HM
• Jin HY
• Park TS

Abstract

Diabetic muscle infarction (DMI) is an uncommon complication in patients with diabetes and it tends to be underdiagnosed, or misdiagnosed, clinically. Recently, we experienced a case of recurrent diabetic muscle infarction that was unusual in that the patient was younger than other patients. The patient was a 21-year-old woman with a 9-year history of maturity-onset diabetes of the young (MODY) who was referred to our department complaining of pain and edema in her right thigh. Magnetic resonance imaging (MRI) showed an increased T2-weighted signal and edema in the affected muscle. The final diagnosis was DMI. However, when the patient had partially recovered and was receiving supportive care, she had a second attack on the other side of the same leg during her hospitalization, in spite of her blood glucose level being strictly controlled. We report the clinical characteristics and imaging findings of this patient with recurrent DMI.

Keyword

Diabetic muscle infarction; Diabetic complication; Recurrence

MeSH Terms

Blood Glucose
Diabetes Complications
Diabetes Mellitus, Type 2
Edema
Female
Hospitalization
Humans
Infarction
Leg
Magnetic Resonance Imaging
Muscles
Recurrence
Thigh
Blood Glucose
Diabetes Mellitus, Type 2