Van Slyke M A, Ostrov B E
Department of Radiology, Pennsylvania State University, Milton S. Hershey Medical Center, Hershey 17033, USA.
Magn Reson Imaging. 1995;13(2):325-9. doi: 10.1016/0730-725x(94)00102-9.
Diabetic muscle infarction (DMI) is a painful and potentially serious complication in patients with poorly controlled diabetes mellitus. The incidence of DMI is likely much greater than reports in the literature suggest, perhaps secondary to the difficulty in making the diagnosis and excluding other more serious etiologies. This paper describes the role of MRI in the evaluation of a diabetic patient with a painful, swollen limb. Early application of MRI can more accurately classify the disease process and focus the differential diagnosis, thus avoiding the hazards of medical therapy associated with other etiologies such as deep venous thrombosis, cellulitis, or osteomyelitis. This paper describes the evaluation and diagnostic pitfalls encountered in two patients. MRI techniques and applications are presented with a discussion of clinical and radiological differential diagnoses.
糖尿病性肌肉梗死（DMI）是血糖控制不佳的糖尿病患者中一种疼痛且可能严重的并发症。DMI的发病率可能远高于文献报道，这可能是由于诊断困难以及难以排除其他更严重的病因。本文描述了MRI在评估患有疼痛、肿胀肢体的糖尿病患者中的作用。早期应用MRI可以更准确地对疾病过程进行分类并聚焦鉴别诊断，从而避免与其他病因（如深静脉血栓形成、蜂窝织炎或骨髓炎）相关的药物治疗风险。本文描述了两名患者在评估和诊断过程中遇到的问题。介绍了MRI技术及其应用，并讨论了临床和放射学鉴别诊断。
