Rocca P V, Alloway J A, Nashel D J
Rheumatology Section, Veterans Affairs Medical Center, Washington, DC 20422.
Semin Arthritis Rheum. 1993 Feb;22(4):280-7. doi: 10.1016/0049-0172(93)80076-r.
In the evaluation of patients with a painful atraumatic mass in an extremity, the clinician should consider a number of clinical entities: primary tumor of muscle, focal or localized nodular myositis, local muscular abscess or soft-tissue infection, osteomyelitis, and thrombophlebitis. A rare complication of diabetes, viz, diabetic muscular infarction, heretofore not reported in the rheumatic disease literature is reviewed. This entity is compared with the conditions of focal and localized nodular myositis, which are nearly as rare.
在评估患有肢体无痛性创伤性肿块的患者时，临床医生应考虑多种临床情况：肌肉原发性肿瘤、局灶性或局限性结节性肌炎、局部肌肉脓肿或软组织感染、骨髓炎和血栓性静脉炎。本文回顾了一种罕见的糖尿病并发症，即糖尿病性肌肉梗死，此前风湿性疾病文献中未见报道。将这种情况与同样罕见的局灶性和局限性结节性肌炎进行了比较。
