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.
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.
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。
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