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Diabetic muscle infarction
  1. Antony Mathew1,
  2. I Sreenath Reddy2,
  3. Colin Archibald2
  1. 1Princess of Wales Hospital, Bridgend, UK
  2. 2Royal Berkshire Hospital, Reading, UK
  1. Correspondence to:
 Antony Mathew
 Emergency Unit, University Hospital of Wales, Cardiff, UK; AntonyMat{at}


Diabetic muscle infarction (DMI) is a rare complication of longstanding, poorly controlled diabetes. Only a few cases have been reported in the literature. The case of a 34-year-old man with a 7-year history of type 2 diabetes mellitus, with sudden onset of left thigh pain, is described here. A final diagnosis of DMI was made, the pathophysiology of which remains unclear. MRI findings were diagnostic and characteristic. The management of this condition is usually symptomatic. Short-term prognosis is very good; however, the recurrence rate is high. Long-term prognosis is poor, with most patients dying from cardiovascular complications of diabetes within 5 years of diagnosis. This case supports the need for a high index of suspicion, when a poorly controlled patient with diabetes presents with non-traumatic limb pain.

  • DM, diabetes mellitus
  • DMI, diabetic muscle infarction
  • ED, emergency department
  • US, ultrasound

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  • Competing interests: None declared.

  • Informed consent has been obtained from the patient for publication of his details in this paper.