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足部疼痛性下垂;糖尿病性肌梗死的表现。

Painful foot drop; a presentation of diabetic muscle infarction.

机构信息

Department of Diabetes and Endocrinology, Guy's and St Thomas' NHS Foundation Trust, London, UK.

出版信息

Diabet Med. 2010 Aug;27(8):958-9. doi: 10.1111/j.1464-5491.2010.03060.x.

DOI:10.1111/j.1464-5491.2010.03060.x
PMID:20653755
Abstract

BACKGROUND

Macro- and microvascular complications of diabetes are varied and can present with a range of clinical signs and symptoms. Diabetic muscle infarction is a rare vascular complication of diabetes that is often not recognized.

CASE REPORT

We report a case of diabetic muscle infarction, where a 65-year-old woman with Type 2 diabetes presented with acute-onset severe pain in her right leg and foot drop.

CONCLUSIONS

Her foot drop was a result of a concomitant compression nerve injury as a consequence of the muscle oedema following infarction. Our case highlights the importance of early recognition and investigation of atypical presentations of vascular complications of diabetes.

摘要

背景

糖尿病的大血管和微血管并发症多种多样,可表现出一系列临床体征和症状。糖尿病性肌梗死是糖尿病罕见的血管并发症,常未被识别。

病例报告

我们报告了一例糖尿病性肌梗死病例,一名 65 岁的 2 型糖尿病女性患者出现右腿和足下垂急性发作性剧烈疼痛。

结论

她的足下垂是由于肌肉水肿继发出血性梗死导致的同时发生的压迫性神经损伤所致。我们的病例强调了早期识别和调查糖尿病血管并发症不典型表现的重要性。

相似文献

1
Painful foot drop; a presentation of diabetic muscle infarction.足部疼痛性下垂;糖尿病性肌梗死的表现。
Diabet Med. 2010 Aug;27(8):958-9. doi: 10.1111/j.1464-5491.2010.03060.x.
2
Diabetic muscle infarction.糖尿病性肌肉梗死
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Diabetic muscle infarction: a poorly understood, rare complication of long-standing diabetes mellitus.糖尿病性肌肉梗死:一种长期糖尿病中了解甚少的罕见并发症。
J Ky Med Assoc. 2007 Oct;105(10):485-90.
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51-year-old hospitalized man with a painful leg.一名51岁腿部疼痛的住院男性。
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Bilateral lower limb pain and swelling in a young girl with type 1 diabetes mellitus.一名1型糖尿病年轻女孩出现双侧下肢疼痛和肿胀。
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Image interpretation session: 1996. Diabetic muscle infarction (DMI).影像解读会议:1996年。糖尿病性肌肉梗死(DMI)。
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Diabetic thigh muscle infarction in association with antiphospholipid antibodies.糖尿病性大腿肌肉梗死与抗磷脂抗体相关
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Painful swelling of the thigh in a diabetic patient: diabetic muscle infarction.糖尿病患者大腿疼痛性肿胀:糖尿病性肌肉梗死
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Risking Life and Limb: A Case of Spontaneous Diabetic Muscle Infarction (Diabetic Myonecrosis).危及生命与肢体:一例自发性糖尿病性肌肉梗死(糖尿病性肌坏死)
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A case of diabetic muscle infarction in Japan.日本的一例糖尿病性肌肉梗死病例。
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Diabetes Metab Syndr Obes. 2019 Mar 5;12:285-290. doi: 10.2147/DMSO.S185839. eCollection 2019.
2
Retrospective analysis of treatment modalities in diabetic muscle infarction.糖尿病性肌肉梗死治疗方式的回顾性分析
Open Access Rheumatol. 2014 Jan 10;6:1-6. doi: 10.2147/OARRR.S53757. eCollection 2014.
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Diabetic muscle infarction: a systematic review.糖尿病性肌梗死:系统评价。
BMJ Open Diabetes Res Care. 2015 Apr 24;3(1):e000082. doi: 10.1136/bmjdrc-2015-000082. eCollection 2015.