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）
Risking Life and Limb: A Case of Spontaneous Diabetic Muscle Infarction (Diabetic Myonecrosis).
作者信息
Cumberledge Jeremy, Kumar Bharat, Rudy David
机构信息
Department of Internal Medicine, University of Kentucky, Lexington, KY, USA.
Department of Allergy and Immunology, Department of Rheumatology, University of Iowa, Iowa City, IA, USA.
出版信息
J Gen Intern Med. 2016 Jun;31(6):696-8. doi: 10.1007/s11606-015-3551-8.
Diabetic muscle infarction, also known as diabetic myonecrosis, is a microvascular complication of poorly controlled diabetes mellitus characterized by unilateral limb pain and swelling. Because these symptoms closely mimic cellulitis and thromboembolism, diagnosis is often delayed or missed altogether, leading to increased morbidity and inappropriate treatment. We describe a case of unilateral limb pain and swelling due to diabetic muscle infarction in a 36-year-old patient with poorly controlled diabetes mellitus. We also review the literature on the diagnosis, prognosis, and management of this under-recognized condition.
糖尿病性肌肉梗死，也称为糖尿病性肌坏死，是糖尿病控制不佳的一种微血管并发症，其特征为单侧肢体疼痛和肿胀。由于这些症状与蜂窝织炎和血栓栓塞极为相似，诊断往往延迟或完全漏诊，从而导致发病率增加和治疗不当。我们描述了一例36岁糖尿病控制不佳患者因糖尿病性肌肉梗死导致单侧肢体疼痛和肿胀的病例。我们还回顾了关于这种未得到充分认识疾病的诊断、预后和管理的文献。
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