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Emergency Medicine Journal 2007;24:507-508; doi:10.1136/emj.2007.046425
© 2007 BMJ Publishing Group Ltd and the College of Emergency Medicine.

EMERGENCY CASEBOOK

Acute spontaneous compartment syndrome in recent onset type 1 diabetes

H Mahdi1, Stephen Gough2, Kanwardeep K Gill2, Brinder Mahon3

1 The Saplings, Newcastle under Lyme, Staffordshire, UK
2 Selly Oak Hospital, University Hospital Birmingham Trust, Birmingham, UK
3 Queen Elizabeth Hospital, University Hospital Birmingham Trust, Birmingham, UK

Correspondence to:
Correspondence to:
Dr H Mahdi
Respiratory Consultant Physician, Barnsley Hospital NHS Foundation Trust, Gawber Road, Barnsley, South Yorkshire S75 2EP, UK; mahdi{at}doctors.org.uk

ABSTRACT

Acute spontaneous compartment syndrome is a rare orthopaedic emergency that usually presents to general physicians as an acute medical admission. Most cases reported to date, in patients with diabetes, are in those with long-standing disease or with evidence of diabetic complications. An acute spontaneous compartment syndrome in a girl with recent diagnosis of type 1 diabetes is reported here. Awareness of the condition allows early recognition and diagnosis, thereby preventing more severe muscle necrosis and disability.

Abbreviations: DMI, diabetes-associated muscle infarction; DVT, deep vein thrombosis


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