Diabetic Myonecrosis: An Atypical Presentation

Diabetic myonecrosis is a frequently unrecognized complication of longstanding and poorly controlled diabetes mellitus. The clinical presentation is swelling, pain, and tenderness of the involved muscle, most commonly the thigh muscles. Management consists of conservative measures including analgesi...

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Main Authors: José Hernán Martínez, Oberto Torres, Michelle M. Mangual García, Coromoto Palermo, María de Lourdes Miranda, Eva González, Ignacio Chinea Espinoza, Ivan Laboy, Mirelis Miranda, Kyrmarie Dávila, Rafael Tirado, Mildred Padilla
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Endocrinology
Online Access:http://dx.doi.org/10.1155/2013/190962
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author José Hernán Martínez
Oberto Torres
Michelle M. Mangual García
Coromoto Palermo
María de Lourdes Miranda
Eva González
Ignacio Chinea Espinoza
Ivan Laboy
Mirelis Miranda
Kyrmarie Dávila
Rafael Tirado
Mildred Padilla
author_facet José Hernán Martínez
Oberto Torres
Michelle M. Mangual García
Coromoto Palermo
María de Lourdes Miranda
Eva González
Ignacio Chinea Espinoza
Ivan Laboy
Mirelis Miranda
Kyrmarie Dávila
Rafael Tirado
Mildred Padilla
author_sort José Hernán Martínez
collection DOAJ
description Diabetic myonecrosis is a frequently unrecognized complication of longstanding and poorly controlled diabetes mellitus. The clinical presentation is swelling, pain, and tenderness of the involved muscle, most commonly the thigh muscles. Management consists of conservative measures including analgesia and rest. Short-term prognosis is good, but long-term prognosis is poor with most patients dying within 5 years. Failure to properly identify this condition will expose the patient to aggressive measures that could result in increased morbidity. To our knowledge this is the first case reported in which there was involvement of multiple muscle groups including upper and lower limbs.
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institution Kabale University
issn 2090-6501
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language English
publishDate 2013-01-01
publisher Wiley
record_format Article
series Case Reports in Endocrinology
spelling doaj-art-064178a3f4f449688b9d26df8dbb87d42025-02-03T01:30:00ZengWileyCase Reports in Endocrinology2090-65012090-651X2013-01-01201310.1155/2013/190962190962Diabetic Myonecrosis: An Atypical PresentationJosé Hernán Martínez0Oberto Torres1Michelle M. Mangual García2Coromoto Palermo3María de Lourdes Miranda4Eva González5Ignacio Chinea Espinoza6Ivan Laboy7Mirelis Miranda8Kyrmarie Dávila9Rafael Tirado10Mildred Padilla11Department of Endocrinology, 4th Floor, San Juan City Hospital, CMMS No. 79, P.O. Box 70344, San Juan, PR 00936-8344, USADepartment of Endocrinology, 4th Floor, San Juan City Hospital, CMMS No. 79, P.O. Box 70344, San Juan, PR 00936-8344, USADepartment of Endocrinology, 4th Floor, San Juan City Hospital, CMMS No. 79, P.O. Box 70344, San Juan, PR 00936-8344, USADepartment of Endocrinology, 4th Floor, San Juan City Hospital, CMMS No. 79, P.O. Box 70344, San Juan, PR 00936-8344, USADepartment of Endocrinology, 4th Floor, San Juan City Hospital, CMMS No. 79, P.O. Box 70344, San Juan, PR 00936-8344, USADepartment of Endocrinology, 4th Floor, San Juan City Hospital, CMMS No. 79, P.O. Box 70344, San Juan, PR 00936-8344, USAInternal Medicine Department, San Juan City Hospital, CMMS No. 79, P.O. Box 70344, San Juan, PR 00936-8344, USAInternal Medicine Department, San Juan City Hospital, CMMS No. 79, P.O. Box 70344, San Juan, PR 00936-8344, USAInternal Medicine Department, San Juan City Hospital, CMMS No. 79, P.O. Box 70344, San Juan, PR 00936-8344, USAInternal Medicine Department, San Juan City Hospital, CMMS No. 79, P.O. Box 70344, San Juan, PR 00936-8344, USAInternal Medicine Department, San Juan City Hospital, CMMS No. 79, P.O. Box 70344, San Juan, PR 00936-8344, USAInternal Medicine Department, San Juan City Hospital, CMMS No. 79, P.O. Box 70344, San Juan, PR 00936-8344, USADiabetic myonecrosis is a frequently unrecognized complication of longstanding and poorly controlled diabetes mellitus. The clinical presentation is swelling, pain, and tenderness of the involved muscle, most commonly the thigh muscles. Management consists of conservative measures including analgesia and rest. Short-term prognosis is good, but long-term prognosis is poor with most patients dying within 5 years. Failure to properly identify this condition will expose the patient to aggressive measures that could result in increased morbidity. To our knowledge this is the first case reported in which there was involvement of multiple muscle groups including upper and lower limbs.http://dx.doi.org/10.1155/2013/190962
spellingShingle José Hernán Martínez
Oberto Torres
Michelle M. Mangual García
Coromoto Palermo
María de Lourdes Miranda
Eva González
Ignacio Chinea Espinoza
Ivan Laboy
Mirelis Miranda
Kyrmarie Dávila
Rafael Tirado
Mildred Padilla
Diabetic Myonecrosis: An Atypical Presentation
Case Reports in Endocrinology
title Diabetic Myonecrosis: An Atypical Presentation
title_full Diabetic Myonecrosis: An Atypical Presentation
title_fullStr Diabetic Myonecrosis: An Atypical Presentation
title_full_unstemmed Diabetic Myonecrosis: An Atypical Presentation
title_short Diabetic Myonecrosis: An Atypical Presentation
title_sort diabetic myonecrosis an atypical presentation
url http://dx.doi.org/10.1155/2013/190962
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