Mukhopadhyay P, Barai R, Philips C A, Ghosh J, Saha S
Department of General Medicine, Nilratan Sircar Medical College and Hospital, Kolkata 700014, India.
Case Rep Endocrinol. 2011;2011:624020. doi: 10.1155/2011/624020. Epub 2011 Jul 28.
Diabetic Myonecrosis is a rare complication of long-standing Diabetes Mellitus Type 1 and 2. The most likely affected areas are of proximal lower limbs, mostly the quadriceps muscle. The presenting features are myriad and a diagnostic conundrum for the physician. There has been previously mentioned, through few case reports, the classical presentation of diabetes-related muscle infarction. Here we present a patient of diabetic myonecrosis, in whom the initial presentation of diabetes mellitus was that of bilateral symmetric proximal upper limb predominant muscle infarction, which has never been reported before.
糖尿病性肌坏死是1型和2型长期糖尿病的一种罕见并发症。最易受影响的部位是下肢近端，主要是股四头肌。其临床表现多种多样，给医生带来诊断难题。此前通过少数病例报告提到过糖尿病相关肌肉梗死的典型表现。在此，我们报告一例糖尿病性肌坏死患者，其糖尿病的初始表现为双侧对称性以上肢近端肌肉梗死为主，这在以前从未有过报道。
