Idiopathic Necrosis of Skeletal Muscle in Patients Who Have Diabetes

Damron, Timothy A.; Levinsohn, E. Mark; Mcquail, Thomas M.; Cohen, Hal; Stadnick, Michael E.; Rooney, Michelle Nayahamui

doi:10.2106/00004623-199802000-00014

Cited by 33 publications

(17 citation statements)

References 14 publications

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“…14 The mainstays of treatment are bed rest, analgesics, and use of antiplatelet and/or anti-inflammatory drugs. 9,1,10 Biopsy would demonstrate necrosis and arteriosclerosis.…”

Section: Discussionmentioning

confidence: 99%

Diabetic Myonecrosis

Rahman¹,

Narasimhan²,

Bair³

et al. 2009

The Endocrinologist

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Diabetic muscle infarction (DMI) (also known as diabetic myonecrosis) is a rare complication of long-standing diabetes. It was first described in 1965, since then only a few cases have been reported in the literature. DMI has a characteristic clinical presentation and appearance on magnetic resonance imaging. Despite several hypotheses, the etiology of DMI has not been convincingly determined. We report on the case of a patient with diabetic myonecrosis. We remind clinicians of the importance of this often underdiagnosed/misdiagnosed condition and discuss the pathophysiology, diagnosis, management, and prognosis of this disabling condition. To our knowledge this is the second case of DMI concurrently involving peroneus longus and brevis muscle.

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“…14 The mainstays of treatment are bed rest, analgesics, and use of antiplatelet and/or anti-inflammatory drugs. 9,1,10 Biopsy would demonstrate necrosis and arteriosclerosis.…”

Section: Discussionmentioning

confidence: 99%

Diabetic Myonecrosis

Rahman¹,

Narasimhan²,

Bair³

et al. 2009

The Endocrinologist

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“…reported a series of 56 patients with diabetes; the mean age at presentation was 41.5 years, 52% female with 30 having type 1 diabetes. Damron 3 reported spontaneous muscle infarction as a first presentation of diabetes. The patients generally have poor diabetic control and microvascular diabetic complications.…”

Section: Discussionmentioning

confidence: 99%

“…Treatment is conservative with rest, analgesia and physiotherapy 3 . Reports of muscle excision followed by early physiotherapy have been associated with recurrent haemorrhage and prolonged recovery 7 .…”

Section: Discussionmentioning

confidence: 99%

Idiopathic spontaneous muscle infarction

Karmani

Hong

2005

ANZ Journal of Surgery

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“…2,8,[10][11][12]17,18 Among our patients there were no complications resulting from percutaneous core-needle biopsy. Recent reports 5,9,10,13,14,17 have suggested that incisional biopsy appears less likely to produce bleeding complications than the technique of excisional biopsy used by Banker and Chester. 3 Our study supports the view that activity does not significantly delay recovery.…”

Section: Discussionmentioning

confidence: 99%

“…5,10,13,14,16,18 In such cases a core-needle biopsy of the muscle is indicated to obtain material for histological evaluation and microbial cultures. 5,9,10,13,14,17 The treatment of DMI is by analgesics and physiotherapy. In most cases, symptoms will resolve spontaneously without the need for surgery.…”

Section: Discussionmentioning

confidence: 99%

Clinical and radiological aspects of idiopathic diabetic muscle infarction

Aboulafia

Monson

Kennon

1999

The Journal of Bone and Joint Surgery. British volume

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T he systemic effects of diabetes mellitus are well recognised. The heart, kidney, central and peripheral nervous systems, and the distal parts of the limbs are often the site of end-organ damage resulting from ischaemia. Infarction of large muscle groups in the limb, not associated with gangrene, is uncommon. There have been few reported cases other than radiological descriptions of diabetic muscle infarcts. While previous reports have illustrated some of the clinical and radiological characteristics of this condition, the paucity of published cases makes it difficult to determine the most appropriate methods of diagnosis and treatment.During a five-year period we treated 14 patients with diabetes mellitus, aged from 32 to 59 years, who were referred to a musculoskeletal oncology service for suspected soft-tissue sarcoma, but were subsequently found to have a diabetic muscle infarct. Closed needle biopsy was performed in 13 without complications. In 12 patients, the symptoms resolved without surgical treatment.

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Idiopathic Necrosis of Skeletal Muscle in Patients Who Have Diabetes

Cited by 33 publications

References 14 publications

Diabetic Myonecrosis

Diabetic Myonecrosis

Idiopathic spontaneous muscle infarction

Clinical and radiological aspects of idiopathic diabetic muscle infarction

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