Department of Angiology, Hypertension and Diabetology, Wroclaw Medical University, Borowska 213, 50-556 Wrocław, Poland.
Department of Radiology, Wroclaw Medical University, Borowska 213, 50-556 Wrocław, Poland.
Int J Environ Res Public Health. 2023 Feb 15;20(4):3390. doi: 10.3390/ijerph20043390.
We present a case of a 31-year-old patient with type 1 diabetes diagnosed at the age of 6. Diabetes is complicated with neuropathy, retinopathy, and nephropathy. He has been admitted to the diabetes ward due to inadequate diabetes control. Gastroscopy and abdominal CT were performed, and gastroparesis was confirmed as an explanation for postprandial hypoglycemia. During hospitalization, the patient reported sudden pain localized on the lateral, distal part of his right thigh. The pain occurred at rest and was aggravated by movement. Diabetic muscle infarction (DMI) is a rare complication of long-lasting, uncontrolled diabetes mellitus. It usually occurs spontaneously, without any previous infection or trauma, and is often misdiagnosed clinically as an abscess, neoplasm, or myositis. DMI patients suffer from pain and swelling of the affected muscles. Radiological examinations, including MRI, CT, and USG, are most important for the diagnosis, assessing the extent of involvement and differentiating DMI from other conditions. However, sometimes a biopsy and histopathological examination are necessary. The optimal treatment has still not been determined. There is also a potential risk of DMI recurrence.
我们报告了 1 例 31 岁的 1 型糖尿病患者，他在 6 岁时被诊断出患有糖尿病。糖尿病并发神经病、视网膜病和肾病。由于糖尿病控制不佳，他已被收入糖尿病病房。进行了胃镜检查和腹部 CT 检查，胃轻瘫被确认为餐后低血糖的解释。住院期间，患者报告右侧大腿外侧和远端突然出现疼痛。疼痛在休息时发生，并因运动而加重。糖尿病性肌梗死（DMI）是一种罕见的长期、未控制的糖尿病并发症。它通常是自发发生的，没有任何先前的感染或创伤，临床上常被误诊为脓肿、肿瘤或肌炎。DMI 患者会出现受影响肌肉的疼痛和肿胀。放射学检查，包括 MRI、CT 和 USG，对诊断、评估受累程度以及将 DMI 与其他疾病区分开来非常重要。然而，有时需要进行活检和组织病理学检查。最佳治疗方法仍未确定。DMI 也有复发的潜在风险。
