Yu Chao-Ping, Liu Tian-Hu, Wang Bin, Zhang Qing
Department of Cardiology, Pi County People's Hospital, China.
Intern Med. 2014;53(11):1227-9. doi: 10.2169/internalmedicine.53.1907. Epub 2014 Jun 1.
Diabetic muscle infarction (DMI) is a rare complication of long-standing diabetes mellitus. This is the first case of DMI reported by cardiologists. A 49-year-old patient with a history of diabetes and hypertension for only two years was admitted to the cardiac ward due to pain in the left thigh with pitting edema in both lower extremities. Magnetic resonance imaging finally confirmed the presence of DMI in the left thigh, which was improved by treatment with anticoagulants, analgesics and rest. However, the typical clinical symptoms of DMI were unrecognizable at the start of treatment, which may be attributed to a lack of awareness of this rare condition among non-endocrinologist physicians.
糖尿病性肌肉梗死(DMI)是长期糖尿病的一种罕见并发症。这是心脏病专家报告的首例DMI病例。一名仅有两年糖尿病和高血压病史的49岁患者因左大腿疼痛及双下肢凹陷性水肿入住心脏科病房。磁共振成像最终证实左大腿存在DMI,经抗凝、止痛及休息治疗后病情好转。然而,在治疗开始时DMI的典型临床症状未被识别,这可能归因于非内分泌科医生对这种罕见病症认识不足。